Clark Laser & Cosmetic Dermatology, LLC
Clark Laser & Cosmetic Dermatology, LLC provides Dermatology Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.
- Licensed in
- GA
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3200 Downwood Cir NW Ste 360Atlanta, GA 30327-1610 Not confirmed with CMS for 10 years — call before visiting
Phone: (770) 405-9956
Fax: (888) 741-9391
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 64521 (GA) |
|---|
Record details
| NPI number | 1528425360 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Clark — Principal · (770) 873-9956 |
| NPI enumerated | January 25, 2016 |
| Last updated in NPPES | January 25, 2016 |
| Mailing address | 20 10th St Nw Unit 901, Atlanta, GA 30309-3867 |
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