PEACHTREE DERMATOLOGY ASSOCIATES, PC


Address: 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291
Phone: 4043551919

PEACHTREE DERMATOLOGY ASSOCIATES, PC (NPI# 1316965213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316965213
Entity Type Organization
Organization Name PEACHTREE DERMATOLOGY ASSOCIATES, PC
Other Organization Name HIRAM M. STURM, MD, PA
Practice Address 371 E Paces Ferry Rd Ne Ste 900
Atlanta
GA 30305-3291
Practice Telephone 4043551919
Practice Fax Number 4043525669
Mailing Telephone 4043551919
Mailing Fax Number 4043525669
Enumeration Date 2006-07-18
Last Update Date 2019-03-04
Authorized Official Name RICHARD LOWELL STURM (OWNER/PHYSICIAN)
Authorized Official Telephone 4043551919
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Hiram M. Sturm, MD, PA Former Legal Business Name - Organization

Office Location

Street Address 371 E PACES FERRY RD NE STE 900
City ATLANTA
State GA
Zip Code 30305-3291

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427010099 Ewa Marie Rooney Physician Assistant 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291 2006-04-06
1588223226 Caroline M Giustra Physician Assistant 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305 2019-06-06
1588130157 Janette Ellen Fant Family Medicine 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291 2018-10-22
1881044246 Traci Taylor Jones Physician Assistant 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291 2016-06-16
1780855205 Katherine Colbath Bishop Physician Assistant 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291 2008-03-13
1578526836 Sylvia Walton Wright Specialist 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291 2006-04-08

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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Competitor

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City ATLANTA
Zip Code 30305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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