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

Dermatology Specialists of Augusta, Inc

Organization Dermatology Physician · NPI 1558339275

Dermatology Specialists of Augusta, Inc is a Dermatology Physician in Evans, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1203 Town Park Ln
Evans, GA 30809-3481
Phone: (706) 650-7546
Fax: (706) 922-9169
Show map & directions

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

Additional practice locations (1)

  • 1248 Augusta West Pkwy, Augusta, GA 30909-1854 — (706) 863-0500

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 049686 (GA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1558339275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Brooks — Credentialing Manager · (727) 547-0607
NPI enumeratedMarch 9, 2006
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address1306 Concourse Dr Ste 201, Linthicum Heights, MD 21090-1033

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