Coastal Medical Dermatology
Coastal Medical Dermatology is a Specialist in Atlanta, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
285 W Wieuca Rd NEAtlanta, GA 30342-3321
Phone: (215) 439-9519
Fax: (678) 647-6762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1699553552 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sandra Dareus — Owner · (215) 439-9519 |
| NPI enumerated | September 20, 2023 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 20, 2023 |
| Mailing address | 45 Boynton Ave Se Unit 1207, Atlanta, GA 30315-1868 |
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