Atlanta Dermatology & Surgery P.a.

NPI #1932300084 in Tucker, Georgia

Provider Information

NPI Number: 1932300084
Entity Type: Organization
Organization Name: Atlanta Dermatology & Surgery P.a.
Primary Specialty: Specialist
Enumeration Date: May 29, 2007
Last Updated: Nov 17, 2015

Practice Location

Address: 1462 MONTREAL RD
Address 2: SUITE 411
City: Tucker
State: Georgia
ZIP Code: 30084-6929
Phone: (404) 296-8000

Authorized Official

Name: DR. JERRY LEE COOPER, MD
Title: PRESIDENT
Phone: (404) 296-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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