Georiga Dermatology Center, P.c.

NPI #1942307160 in Cumming, Georgia

Provider Information

NPI Number: 1942307160
Entity Type: Organization
Organization Name: Georiga Dermatology Center, P.c.
Primary Specialty: Dermatology
Enumeration Date: Sep 20, 2006
Last Updated: Sep 28, 2016

Practice Location

Address: 1505 NORTHSIDE BLVD
Address 2: SUITE 1500
City: Cumming
State: Georgia
ZIP Code: 30041-7623
Phone: (770) 781-5077

Authorized Official

Name: DR. ALEXANDER S GROSS, M.D.
Title: OWNER
Phone: (770) 781-5077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Dermatology	207N00000X	Primary

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