CLARK LASER & COSMETIC DERMATOLOGY, LLC


Address: 3200 Downwood Cir Nw, Suite 360, Atlanta, GA 30327-1610
Phone: 7704059956

CLARK LASER & COSMETIC DERMATOLOGY, LLC (NPI# 1528425360) 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) 1528425360
Entity Type Organization
Organization Name CLARK LASER & COSMETIC DERMATOLOGY, LLC
Practice Address 3200 Downwood Cir Nw
Suite 360
Atlanta
GA 30327-1610
Mailing Address 20 10th St Nw Unit 901
Atlanta
GA 30309-3867
Practice Telephone 7704059956
Practice Fax Number 8887419391
Mailing Telephone 7708739956
Mailing Fax Number 8887419391
Enumeration Date 2016-01-25
Last Update Date 2016-01-25
Authorized Official Name DR. JASON A CLARK (PRINCIPAL)
Authorized Official Telephone 7708739956
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 64521 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 3200 DOWNWOOD CIR NW
SUITE 360
City ATLANTA
State GA
Zip Code 30327-1610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992708929 Novamed Management Services LLC Clinic/Center 3200 Downwood Cir Nw, Ste 200, Atlanta, GA 30327-1610 2005-05-23
1679185342 Carmen Bradshaw Nurse Practitioner 3200 Downwood Cir Nw, Atlanta, GA 30327-1610 2020-08-23
1235678483 Peachtree Orthopaedic Clinic, P.a. Durable Medical Equipment & Medical Supplies 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 2017-02-21
1174072383 Pamela Lyman Nurse Practitioner 3200 Downwood Cir Nw, Suite 220, Atlanta, GA 30327-1610 2016-09-28
1811357502 Stacey Dawn Tatroe Nurse Practitioner 3200 Downwood Cir Nw, Ste 550, Atlanta, GA 30327-1624 2016-02-24
1831554765 Atlanta Knee and Shoulder Clinic PC Non-Pharmacy Dispensing Site 3200 Downwood Cir Nw, Suite 410, Atlanta, GA 30327-1610 2015-12-18
1699143131 Atlanta Center for Endodontics, P.C. Clinic/Center 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 2015-09-14
1407224991 Melanie Burns Dentist 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 2015-09-14
1770963993 Ansley Mccarter Physical Therapist 3200 Downwood Cir Nw, Suite 350, Atlanta, GA 30327-1610 2015-06-03
1639566094 Ryan Scot Burke Plastic Surgery 3200 Downwood Cir Nw, Ste 640a, Atlanta, GA 30327 2015-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497388730 Brand New Start Treatment Center- Paulding LLC Clinic/Center 311 Wi Pkwy, Suite 500, Dallas, GA 30327 2020-02-14
1477039741 Atlanta Knee and Shoulder Clinic PC Orthopaedic Surgery 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 2018-07-19
1336636174 One Group LLC In Home Supportive Care 3150 Howell Mill Road, Atlanta, GA 30327 2018-04-17
1609313949 Michelle Perry Specialist/Technologist 4075 Paces Ferry Road Nw, Atlanta, GA 30327 2017-01-25
1447706981 Cailey Ann Binkley Counselor 4200 Northside Parkway, Building 7, Atlanta, GA 30327 2016-08-25
1902256555 Carlos Alberto Prays Family Medicine 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 2016-06-14
1851793210 Laura Goydich Rhein Anesthesiologist Assistant 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 2014-09-17
1699115451 Jeffrey Alan Bernstein Obstetrics & Gynecology 655 Widgeon Lane, Atlanta, GA 30327 2013-06-26
1053755207 Thomas Windrow Marks Orthopaedic Surgery 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 2013-04-18
1245572643 Valerie Lananh Truong Dermatology 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 2013-03-23
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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
1932762218 Laura Quinn Biehle Dermatology 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 2019-04-22
1366952707 Chelsie Rogers Dermatology 371 E Paces Ferry Rd Ne Ste 825, Atlanta, GA 30305-3292 2017-10-11
1720506231 O'reilly Comprehensive Dermatology, Inc. Dermatology 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 2017-09-05
1356872246 Tova Rogers Dermatology 1525 Clifton Road Suite 105, Atlanta, GA 30322 2017-03-23
1255614855 Paul Calvin Cronce Dermatology 1747 Timberland Rd Ne, Atlanta, GA 30345-4166 2011-09-21
1205123296 Josh A Hammel Dermatology 4360 Chamblee Dunwoody Rd Ste 260, Atlanta, GA 30341 2011-06-29
1093006793 Seema Panduranga Kini Dermatology Emory University Graduate, 1648 Pierce Dr., Atlanta, GA 30322-0001 2011-04-28
1639478464 Julia Pettersen Neckman Dermatology 875 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342 2011-03-18
1952628471 Justin Thomas Cheeley Dermatology 1525 Clifton Rd Ne Dept Of, Atlanta, GA 30322-1059 2010-04-23
1245404854 Tunisia Finch Cornelius Dermatology 1039 Grant St Se Ste A-11, Atlanta, GA 30315 2008-04-15
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Competitor

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City ATLANTA
Zip Code 30327

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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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