GEORGIA DERMATOLOGY & SKIN CANCER CENTER LLC NPI 1063460459

NPI Information

  • NPI: 1063460459
  • Provider Name: GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Other Name: GEORGIA DERMATOLOGY & SKIN CARE CENTER
  • Address: 2400 BELLEVUE RD
    16 ERIN OFFICE PARK
    DUBLIN, GA
    ZIP 31021
  • Phone: (478) 328-0281

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NPI Details

GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC is a dermatology in Dublin, GA. The provider is 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. GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC NPI is 1063460459. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Georgia Dermatology & Skin Care Center.

The provider's business location address is:

2400 BELLEVUE RD
16 ERIN OFFICE PARK
DUBLIN, GA
ZIP 31021-885
Phone: (478) 328-0281
Fax: (478) 328-0438

The provider's authorized official is Michael J Sharkey .
The authorized official title is Owner and has the following contact phone number (478) 275-2694.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207NS0135XDermatologyProcedural DermatologyNo
4207ND0900XDermatologyDermatopathologyNo
5207NP0225XDermatologyPediatric DermatologyNo
6207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
7207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DC4061OTHERGEORGIARAILROAD MEDICARE
2GRP6800MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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