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

Dermatology Boutique LLC

Organization Specialist · NPI 1699800516

Dermatology Boutique LLC is a Specialist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

550 Peachtree St NE Ste 1490
Atlanta, GA 30308-2244
Phone: (404) 523-4223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 051138 (GA)

Record details

NPI number1699800516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wakitha Griffin — Owner · (404) 523-4223
Other names Intown Dermatology
NPI enumeratedFebruary 22, 2007
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address550 Peachtree St Ne Ste 1490, Atlanta, GA 30308-2244

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