ASC OF GEORGIA DERMATOLOGIC SURGERY NPI 1356429765

NPI Information

NPI: 1356429765
Provider Name: ASC OF GEORGIA DERMATOLOGIC SURGERY

Doing Business As: ASC OF BAUCOM & MINA DERM SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5555 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA
ZIP 30342
Phone: (404) 844-0496
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ASC OF GEORGIA DERMATOLOGIC SURGERY is an ambulatory surgical clinic center in Atlanta, GA. ASC OF GEORGIA DERMATOLOGIC SURGERY NPI is 1356429765. The provider is registered as an organization entity type.
The provider Is Doing Business As Asc Of Baucom & Mina Derm Surgery.

The provider's business location address is:

5555 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA
ZIP 30342-724
Phone: (404) 844-0496
Fax: (404) 844-0499

The provider's authorized official is Mark Baucom .
The authorized official title is President and has the following contact phone number (404) 844-0496.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 12/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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