Provider profile · NPI 1366277436
Advanced Dermatology At Skincare 5th Avenue, Llc
Dermatology · Peachtree City, GA · NPI 1366277436 · 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 6, 2024
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2579 HIGHWAY 54 | Peachtree City, GA 30269-1451 | 770-487-2645 |
| LOCATION | 2579 HIGHWAY 54 | Peachtree City, GA 30269-1451 | 770-487-2645 |
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.