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

Athens-Oconee Skin Cancer & Dermatology, LLC

Organization Dermatology Physician · NPI 1790989291

Athens-Oconee Skin Cancer & Dermatology, LLC is a Dermatology Physician in Watkinsville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1582 Mars Hill Rd Ste A
Watkinsville, GA 30677-4836
Phone: (706) 769-7546
Fax: (706) 769-2443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 050931 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 050931 (GA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 050931 (GA)

Record details

NPI number1790989291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Bulengo — Owner · (706) 769-7546
Other names Oconee Dermatopathology
NPI enumeratedJune 11, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1582 Mars Hill Rd, Suite A, Watkinsville, GA 30677-4836

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