Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN BARAK FASS, MD
ActiveJONATHAN BARAK FASS, MD is a Dermatology healthcare provider located in GREENSBORO, Georgia. NPI 1104821917 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GREENSBORO, GA
Registration Details
- NPI Number
- 1104821917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2005 (21.19188469449 yrs)
- Last Updated
- Jan 25, 2024
- License
-
046089 (GA)
Practice Information
- Address
-
1000 COWLES CLINIC WAY STE 100GREENSBORO, GA, 306425285Browse GA providers · Browse ZIP 30642
- Phone
- 7065435858
- Fax
- 7065432050
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.