Provider profile · NPI 1114022167

Aqua Dermatology Of Georgia Pc

Dermatology · Marietta, GA · NPI 1114022167 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

Sep 14, 2006

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION835 COGBURN AVE NW SUITE 100Marietta, GA 30060-1031770-422-5557
MAILING835 COGBURN AVE NW SUITE 100Marietta, GA 30060-1031770-422-5557

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.