Organization

Atlanta West Dermatology, P.C.

MOHS-Micrographic Surgery Physician in Austell, GA(View on Map)

Legal Business Name

Atlanta West Dermatology, P.C.

NPI Number

1174680979

NPI Type

Organization

Enumeration Date

01/02/2007

Specialties

(Taxonomies)

Code

207ND0101X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

028477

Contact
Information

Purpose

Mailing
Location

Address

1550 MULKEY RD
1550 MULKEY RD

City

Austell
Austell

State

GA
GA

Postal Code

30106-1112
30106-1112

Country

US
US

Telephone Number

(770) 732-1137
(770) 732-1137

Authorized Official

Name

Holley Garrett

Title or Position

PRAC ADMIN

Telephone Number

(404) 446-1447

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/30/2010

Provider Address