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1699553552
COASTAL MEDICAL DERMATOLOGY
ATLANTA, GA
NPI
1699553552
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Entity Type
Organization
Authorized Contact
SANDRA V DAREUS
Owner
215-439-9519
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
COASTAL MEDICAL DERMATOLOGY
285 W WIEUCA RD NE
ATLANTA, GA 30342-3321
Phone number: 215-439-9519
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Mailing Address
COASTAL MEDICAL DERMATOLOGY
45 BOYNTON AVE SE UNIT 1207
ATLANTA, GA 30315-1868
Phone number: 215-439-9519
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