Organization · Type 2 NPI

Atlanta Skin and Aesthetics

Procedural Dermatology Physician · Atlanta, GA

NPI number 1780872556 Active

Practice location

5671 Peachtree Dunwoody Rd Ste 660
Atlanta, GA 30342-5006

Call (404) 252-4110 Map

Fax (404) 252-2188

Mailing address

1100 Johnson Ferry Rd Ste 465
Atlanta, GA 30342-1709

Specialties and licenses

Taxonomy	Code	License
Procedural Dermatology Physician Primary	207NS0135X	None listed

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

6 other providers at this address

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NPI record

NPI: 1780872556
Entity type: Organization (Type 2)
Issued: Oct 5, 2007
Last updated: Sep 25, 2024
Status: Active

Other names

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Atlanta Skin and Aesthetics · doing business as
Atlanta Skin and Aesthetics · doing business as

Authorized official

Richard Edgar Nix
Business Manager
(404) 252-4110

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780872556

Atlanta Skin and Aesthetics's National Provider Identifier is 1780872556, issued on Oct 5, 2007. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Atlanta, GA. The record was last updated on Sep 25, 2024.