Provider profile · NPI 1639313489

Aesthetic Dermatology, Pc

Dermatology · Cumming, GA · NPI 1639313489 · 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 23, 2009

License(s)

059398 (GA)

Addresses on file

PurposeAddressCity/StatePhone
MAILING960 SANDERS RD SUITE 300Cumming, GA 30041-5962770-205-0104
LOCATION960 SANDERS RD SUITE 300Cumming, GA 30041-5962770-205-0104

View on NPPES registry ↗

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