Divine Dermatology & Aesthetics LLC
Divine Dermatology & Aesthetics LLC provides Dermatology Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2018.
- Licensed in
- GA
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1039 Grant St SE Ste A-11Atlanta, GA 30315-2014
Phone: (678) 589-7546
Fax: (678) 589-7500
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 (GA) |
|---|
Record details
| NPI number | 1730682725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tunisia Cornelius — Authorized Official · (678) 589-7546 |
| NPI enumerated | March 15, 2018 |
| Last updated in NPPES | March 15, 2018 |
| Mailing address | 830 Glenwood Ave Se Ste 510-209, Atlanta, GA 30316-1966 |
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