GRACE DELERME


Address: 105 Professional Park Dr, Cumming, GA 30040-2381
Phone: 7708003455

GRACE DELERME (NPI# 1073015921) 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) 1073015921
Entity Type Individual
Full Name GRACE DELERME
Practice Address 105 Professional Park Dr
Cumming
GA 30040-2381
Mailing Address 6205 Beaver Bend Way
Cumming
GA 30040-0354
Practice Telephone 7708003455
Enumeration Date 2018-03-07
Last Update Date 2018-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
189064 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 105 PROFESSIONAL PARK DR
City CUMMING
State GA
Zip Code 30040-2381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770554347 James Fred Boling Internal Medicine 105 Professional Park Dr, Cumming, GA 30040-2381 2006-01-31
1841852076 Cleaver Medical Group Dermatology Inc Dermatology 105 Professional Park Dr, Cumming, GA 30040-2381 2019-07-09
1679018485 Cleaver Medical Group PC Anesthesiology 105 Professional Park Dr, Cumming, GA 30040-2381 2017-01-03
1760896112 Colin J Kress Anesthesiology 105 Professional Park Dr, Cumming, GA 30040-2381 2014-06-13
1871882225 Nathan Jerome Cleaver Dermatology 105 Professional Park Dr, Cumming, GA 30040-2381 2011-04-06
1659684231 Miranda Reed Anesthesiology 105 Professional Park Dr, Cumming, GA 30040-2381 2010-07-23
1629267950 James Fred Boling, M.d. Internal Medicine 105 Professional Park Dr, Cumming, GA 30040-2381 2007-10-23
1073584603 Barbara E Boling Internal Medicine 105 Professional Park Dr, Cumming, GA 30040-2381 2006-01-31

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1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
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1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
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1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
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Taxonomy Information

Taxonomy Code 207NI0002X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Clinical & Laboratory Dermatological Immunology

Taxonomy Definition

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053408062 Christopher Earl Gene Golden Dermatology 210 Village Ctr Pkwy, Stockbridge, GA 30281 2006-10-10

Competitor

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City CUMMING
Zip Code 30040

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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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