TARA DERMATOLOGY CENTER PC – NPI #1699892380
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
TARA DERMATOLOGY CENTER PC is an AHC clinic located in STOCKBRIDGE, GA. NPPES has assigned the NPI number 1699892380 to TARA DERMATOLOGY CENTER PC on March 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is VINCENT T PENG MD PC. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 13 years ago on Mar 26, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARA DERMATOLOGY CENTER PC below.
NPI Profile for
TARA DERMATOLOGY CENTER PC
(more than 19 years ago)
STOCKBRIDGE, GA 30281-5083 Phone: (770) 991-1000 Fax:
PHYSICIAN
Phone: (770) 991-1000
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
GA |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.