Provider profile · NPI 1174680979

Atlanta West Dermatology & Surgery Center Pc

Dermatology · Austell, GA · NPI 1174680979 · 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

Jan 2, 2007

License(s)

028477 (GA)

Addresses on file

PurposeAddressCity/StatePhone
MAILING1550 MULKEY RD Austell, GA 30106-1112770-732-1137
LOCATION1550 MULKEY RD Austell, GA 30106-1112770-732-1137

View on NPPES registry ↗

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