Modern Dermatology Atlanta

NPI #1164947115 in Dunwoody, Georgia

Provider Information

NPI Number
1164947115
Entity Type
Organization
Organization Name
Modern Dermatology Atlanta
Primary Specialty
Dermatology
Enumeration Date
Aug 11, 2017
Last Updated
Aug 11, 2017

Practice Location

Address
5696 WHITEHALL WALK
State
Georgia
ZIP Code
30338
Phone
(423) 280-2594

Authorized Official

Name
DR. NAGA B MEDURI, MD
Title
OWNER
Phone
(423) 280-2594

Specialties & Taxonomy Codes

Specialty
Dermatology

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