DIVINE DERMATOLOGY & AESTHETICS LLC

ATLANTA, GA
NPI1730682725
Entity TypeOrganization
Authorized ContactTUNISIA F. CORNELIUS
Authorized Official
678-589-7546
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2018-03-15
Last Update Date2018-03-15
Business Address
DIVINE DERMATOLOGY & AESTHETICS LLC
1039 GRANT ST SE STE A-11
ATLANTA, GA 30315-2014
Phone number: 678-589-7546
Mailing Address
DIVINE DERMATOLOGY & AESTHETICS LLC
830 GLENWOOD AVE SE STE 510-209
ATLANTA, GA 30316-1966
Phone number: 678-589-7546
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