Aqua Dermatology Of Georgia Pc
May also be knows as Goodman Dermatology, Skin Cancer Specialists Pc & Aesthetics Center
Dermatology Physician in Marietta, GA(View on Map)
Legal Business Name
Aqua Dermatology Of Georgia Pc
Also Known As
Goodman Dermatology, Skin Cancer Specialists Pc & Aesthetics Center
NPI Number
1114022167
NPI Type
Organization
Enumeration Date
09/14/2006
Specialties
(Taxonomies)Code
207N00000X
207ND0101X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
835 COGBURN AVE NW
835 COGBURN AVE NW
City
Marietta
Marietta
State
GA
GA
Postal Code
30060-1031
30060-1031
Country
US
US
Telephone Number
(770) 422-5557
(770) 422-5557
Authorized Official
Name
Dr. Theodore Schiff
Title or Position
OWNER
Telephone Number
(770) 422-5557
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/16/2024
Provider Address
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