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METRODERM, P.C.
NPI 1942929062
Specialist in Gainesville, GA

Active since August 23, 2022
974 S ENOTA DR NE, GAINESVILLE, GA 30501(770) 536-7546 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Metroderm, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METRODERM, P.C. (NPI 1942929062) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since August 2022. The organization maintains 2 additional practice locations and lists Carrie Williams, Director Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1942929062
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMETRODERM, P.C.
Location Address974 S ENOTA DR NEGainesville, GA 30501-2429
Mailing Address875 Johnson Fy Rd Ne Ste 300Atlanta, GA 30342-1418 · (678) 904-2359
Phone(770) 536-7546
Organization SubpartYes
Authorized OfficialCarrie WilliamsDirector Of Revenue · (678) 904-2359
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1942929062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
974 S ENOTA DR NE, Gainesville, GA 30501
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Secondary Practice Locations 2

Location 1225 Adams DrDemorest, GA 30535-4577 · Phone (770) 536-7357
Location 2134 Ansley Dr Ste 502Dahlonega, GA 30533-1641 · Phone (770) 536-7546

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL C. RABB MEDICAL DOCTOR
Dermatology
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 536-7546
DERMATOLOGY ASSOCIATES OF NORHTEAST GEORGIA
Specialist
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 536-7546
DR. FIONA ZWALD MD
Dermatology
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 536-7546
MS. JENNIFER MANRY PA-C
Physician Assistant (Medical)
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 536-7546
JANETTE WALSH NP-C
Nurse Practitioner
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 536-7546
CAROLYN MARIE SIRONEN NP-C
Nurse Practitioner (Family)
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Hall County (770) 536-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metroderm, P.C.'s NPI number?

The NPI number for Metroderm, P.C. is 1942929062. It was assigned to this organization in the NPPES registry on August 23, 2022.

Where is Metroderm, P.C. located?

Metroderm, P.C. is located at 974 S Enota Dr NE, Gainesville, GA 30501. The listed phone number is (770) 536-7546.

What is Metroderm, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Metroderm, P.C. was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.