Jonathan Barak Fass, MD

NPI #1104821917 in Greensboro, Georgia

Provider Information

NPI Number: 1104821917
Entity Type: Individual
Name: Jonathan Barak Fass, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jun 17, 2005
Last Updated: Jan 25, 2024

Practice Location

Address: 1000 COWLES CLINIC WAY STE 100
City: Greensboro
State: Georgia
ZIP Code: 30642-5285
Phone: (706) 543-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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