Unknown Individual – Dermatology Physician, NPI 1477578813
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
100, Professional Place, Carrollton, Carroll County, Georgia, 30117, United States
SUITE 110
CARROLLTON, GA 301173874
Phone: (770) 834-0818
Fax: (770) 834-5098
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30117)
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