Divine Dermatology & Aesthetics Llc

LBN: Divine Dermatology & Aesthetics Llc
Divine Dermatology & Aesthetics Llc is an health care organization with primary practice located at 1039 Grant St Se Ste A-11 , Atlanta GA 30315-2014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Divine Dermatology & Aesthetics Llc can be contacted via phone (678) 589-7546, or through Cornelius, Tunisia F. via phone (678) 589-7546.

Contact Information

Primary practice address
1039 Grant St Se Ste A-11 Atlanta GA 30315-2014
Phone: (678) 589-7546
Fax: (678) 589-7500
Website:
Map and Directions
Authorized official contact:
Name: Cornelius, Tunisia F. Doctor of Medicine (MD)
Phone: (678) 589-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Georgia

Profile Details

NPI number 1730682725
LBN Legal business name Divine Dermatology & Aesthetics Llc
DBA Doing business as
Authorized official Cornelius, Tunisia F. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2018
Last updated Mar 15th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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