Healthcare Provider Details

I. General information

NPI: 1437067527
Provider Name (Legal Business Name): AYLEEN PARRA VOEGELE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MIDDLE ST STE 117
ATLANTA GA
30346-1322
US

IV. Provider business mailing address

2097 GARRISON WAY NW
ATLANTA GA
30318-1068
US

V. Phone/Fax

Practice location:
  • Phone: 470-994-6700
  • Fax:
Mailing address:
  • Phone: 706-980-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number309926
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: