NPI age
19 years
Enumerated 2006-10-11
● Active Type 2 · Organization
North Georgia Dermatopathology Pc
North Georgia Dermatopathology Pc is 1 of 621 clinical medical laboratory organizations in Georgia.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jerdan
Business Manager
Last NPPES update
2010-12-30
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
945 Church Street Ext Ne Ste B
Marietta, GA 300607293
Mailing address
Po Box 162406
Atlanta, GA 303212406
Authorized official
Lindsay Catherine Jerdan
Business Manager
📞 7704260827
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52023957 | BCBS |
| 05 (GA) | 434544295A |
Practice context
Single-site organization. Only one practice location on file.
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