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BABCOCK DERMATOLOGY PC NPI 1750565180


NPI Information

NPI: 1750565180
Provider Name: BABCOCK DERMATOLOGY PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 11D1078951

Address:
4890 ROSWELL RD NE
SUITE B-10
ATLANTA, GA
ZIP 30342
Phone: (216) 647-1370
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BABCOCK DERMATOLOGY PC is a medical specialty clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BABCOCK DERMATOLOGY PC NPI is 1750565180. The provider is registered as an organization entity type.

The provider's business location address is:

4890 ROSWELL RD NE
SUITE B-10
ATLANTA, GA
ZIP 30342-606
Phone: (216) 647-1370

The provider's authorized official is Melissa Babcock .
The authorized official title is President and has the following contact phone number (678) 927-9027.

The CLIA number assigned to this NPI record is 11D1078951 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.


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
1261QM2500XClinic/CenterMedical Specialty59368GEORGIAYes

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

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