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General NPI Number Information
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NPI Number | 1902538770
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Entity Type | Organization
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Legal Business Name | ATLANTA SKIN WELLNESS CENTER LLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1800 HOWELL MILL RD NW STE 680
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City | ATLANTA
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State | GA
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Zip | 30318-0920
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Country | US
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Telephone | 404-446-4840
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Fax | 404-446-4841
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Provider Business Mailing Address
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Address Line | 755 MOUNT VERNON HWY NE STE 305
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City | ATLANTA
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State | GA
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Zip | 30328-4290
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Country | US
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Telephone | 404-446-4840
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Fax | 404-446-4841
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Authorized Official
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Title or Position | OWER/MD
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Name | DR. ELISE P BARNETT
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Credential | MD
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Telephone | 404-446-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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