Provider profile · NPI 1417910431

Atlanta Center For Dermatologic Diseases Pc

Dermatology · Roswell, GA · NPI 1417910431 · 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

Apr 10, 2006

License(s)

027080 (GA), 034135 (GA), 044141 (GA), 032377 (GA), 032990 (GA)

Addresses on file

PurposeAddressCity/StatePhone
MAILING1265 UPPER HEMBREE RD STE 100Roswell, GA 30076-1143770-751-1433
LOCATION1265 UPPER HEMBREE RD STE 100Roswell, GA 30076-1143770-751-1433

View on NPPES registry ↗

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