Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aqua Dermatology of Georgia PC

Organization Dermatology Physician · NPI 1114022167

Aqua Dermatology of Georgia PC is a Dermatology Physician in Marietta, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

835 Cogburn Ave NW Ste 100
Marietta, GA 30060-1031
Phone: (770) 422-5557
Fax: (770) 422-5456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1114022167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Schiff — Owner · (770) 422-5557
Other names Goodman Dermatology, Skin Cancer Specialists Pc & Aesthetics Center
NPI enumeratedSeptember 14, 2006
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031

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