DR. CANDANCE KIMBROUGH-GREEN


Address: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428
Phone: 7709713376

DR. CANDANCE KIMBROUGH-GREEN (NPI# 1366428146) 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) 1366428146
Entity Type Individual
Full Name DR. CANDANCE KIMBROUGH-GREEN
Credential M.D.
Practice Address 4800 Olde Towne Pkwy Ste 250
Marietta
GA 30068-4428
Practice Telephone 7709713376
Mailing Telephone 7709713376
Mailing Fax Number 7705788567
Enumeration Date 2005-12-22
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 45268 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2045 Peachtree Rd Ne Ste 200, Atlanta, GA 30309 4043517546 4043512993

Office Location

Street Address 4800 OLDE TOWNE PKWY STE 250
City MARIETTA
State GA
Zip Code 30068-4428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447851357 Dermatology and Surgery Specialists of North Atlanta PC Dermatology 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2020-11-06
1972820975 Kathleen Sikora Viscusi Dermatology 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2010-04-29
1104140037 Onaopemipo Olayide Ofodile Dermatology 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2010-03-22
1881734556 Chason E. Worthy Physician Assistant 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2007-02-08
1649368440 Anjeli G Laungani Dermatology 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2006-10-10
1689602138 Laura Durell Physician Assistant 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2006-06-30
1003857244 Lisa M Lewis Physician Assistant 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831798917 Barbara Ann Goldschmidt Pharmacist 4088 Lower Roswell Rd, Marietta, GA 30068 2020-10-20
1285274480 Cory Plasker Chiropractor 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 2020-01-15
1952949893 Dr Amy L Varner LLC Internal Medicine 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 2019-12-11
1417501834 Cornerstone Hospice and Palliative Care of Georgia, LLC Hospice Care, Community Based 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 2019-07-25
1639721038 Cayla Clark Behavior Technician 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 2019-07-15
1467910828 2me Healthcare,llc Home Health 2586 Club Valley Drive Ne, Marietta, GA 30068 2019-03-05
1265912604 Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic Chiropractor 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 2018-08-15
1225514219 Audrey Hughes. Lcsw, LLC Clinic/Center 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 2018-07-13
1316461379 Evan King Registered Nurse 52 Pioneer Trl, Marietta, GA 30068 2017-08-01
1912431867 Anthony Izore Nurse Practitioner 5163 Tall Oak Drive, Marietta, GA 30068 2017-04-18
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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 city

NPI Name Taxonomy Address Enumeration
1720686058 Worldwide Medical Healthcare Inc Dermatology 790 Church St Ne Ste 300, Marietta, GA 30060-8902 2020-10-09
1346700127 Gerald Chotiner Dermatology 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 2019-03-20
1790791465 Debra J Atkins Dermatology 1232 Johnson Ferry Rd, Marietta, GA 30068-2776 2006-08-01
1164442562 Jim D Adkins Dermatology 111 Marble Mill Road, Marietta, GA 30060-1047 2006-07-20
1114985108 Jennifer L Jones Dermatology 835 Cogburn Avenue, Suite 100, Marietta, GA 30060-1008 2006-05-02
1790756138 Mark Alan Chastain Dermatology 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 2006-02-01
1669462610 Mitra Mofid Dermatology 2550 Windy Hill Road Se, Suite 103, Marietta, GA 30067-8607 2005-10-21
1447851357 Dermatology and Surgery Specialists of North Atlanta PC Dermatology 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 2020-11-06
1356861975 Anissa Mansoori Dermatology 141 Lacy St Nw Ste 200, Marietta, GA 30060-1118 2017-06-24
1306232608 Hailey F Rouhana Dermatology 835 Cogburn Avenue, Suite 100, Marietta, GA 30060-1008 2015-04-13
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30068

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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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