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

Baucom & Mina Derm Surgery, LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1245780980

Baucom & Mina Derm Surgery, LLC is an MOHS-Micrographic Surgery Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

5555 Peachtree Dunwoody Rd Ste 206
Atlanta, GA 30342-1703
Phone: (404) 844-0496
Fax: (404) 844-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X (GA)

Record details

NPI number1245780980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Alice Mina — Owner · (404) 844-0496
NPI enumeratedOctober 6, 2016
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342-1703

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