M.D. Jacqueline Nicole Flandry, NPI 1306089800
Dermatology Physician in Columbus, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306089800
NPI Entity Type Individual
Provider Name M.D. Jacqueline Nicole Flandry
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1150 Brookstone Centre Pkwy, Columbus, GA, US
Provider Mailing Address 835 Cogburn Ave Nw Ste 250, Marietta, GA, US, 300601056
Gender Female
Is Sole Proprietor? Yes
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Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207N00000X

Taxonomy Name Dermatology Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 070111
License State GA
Description 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.

Other Name

M.D. Jacqueline Nicole Flandry Fussell
Former Name

Business Address

M.D. Jacqueline Nicole Flandry
1150 Brookstone Centre Pkwy

Columbus, GA, US

Phone: 706-257-4189
Fax: 706-257-4194

Mailing Address

M.D. Jacqueline Nicole Flandry
835 Cogburn Ave Nw Ste 250
Marietta, GA, US
ZIP 300601056
Phone: 770-422-8815
Fax: 770-422-8816

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

70111 GA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
202G708679 GA MEDICARE PTAN 01
003159653A GA MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 1150 Brookstone Centre Pkwy, Columbus, GA, US

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