Metroderm, P.C.

Specialist · Gainesville, GA

Organization Active NPI

NPI number 1942929062

Practice location

974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone
(770) 536-7546

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NPI record

NPI
1942929062
Entity type
Organization (Type 2)
Enumeration date
August 23, 2022
Last updated
August 23, 2022
Certified
August 23, 2022
Organization subpart
Yes
Parent organization
Metroderm, P.C.

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

875 Johnson FY Rd NE Ste 300
Atlanta, GA 30342-1418
Phone
(678) 904-2359

Authorized official

Name
Carrie Williams
Title
Director of Revenue
Phone
(678) 904-2359

Other practice locations (2)

  • 225 Adams Dr, Demorest, GA 30535-4577 · (770) 536-7357
  • 134 Ansley Dr Ste 502, Dahlonega, GA 30533-1641 · (770) 536-7546

About Metroderm, P.C.

Metroderm, P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 974 S Enota Dr NE, Gainesville, GA 30501-2429. The NPI number 1942929062 was assigned on August 23, 2022 and the record was last updated on August 23, 2022.

The authorized official for this organization is Carrie Williams, Director of Revenue.

Frequently asked questions

What is the NPI number of Metroderm, P.C.?

The NPI number is 1942929062.

What is the phone number of Metroderm, P.C.?

The phone number listed for the practice location is (770) 536-7546.

Where is Metroderm, P.C. located?

974 S Enota Dr NE, Gainesville, GA 30501-2429.

What is the taxonomy code for Metroderm, P.C.?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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