GRACE DELERME (NPI# 1073015921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
189064 | GA | Allopathic & Osteopathic Physicians |
Street Address |
105 PROFESSIONAL PARK DR |
City | CUMMING |
State | GA |
Zip Code | 30040-2381 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
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 |
1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
Find all providers in zip 30040 |
Taxonomy Code | 207NI0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Clinical & Laboratory Dermatological Immunology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053408062 | Christopher Earl Gene Golden | Dermatology | 210 Village Ctr Pkwy, Stockbridge, GA 30281 | 2006-10-10 |
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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.