Epiphany Dermatology of Georgia, LLC
Epiphany Dermatology of Georgia, LLC is a Dermatology Physician in Fayetteville, Georgia. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
874 Lanier Ave W Ste 270Fayetteville, GA 30214-7617
Phone: (770) 251-5111
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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 |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1265544357 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gheorghe Pusta — Executive Director · (512) 628-0465 |
| Other names | Epiphany Dermatology |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | March 19, 2025 |
| Certification date | March 19, 2025 |
| Mailing address | 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 |
Other providers in Fayetteville
-
Dr. G Anthony Slagel, MD
101 Yorktown Dr, Fayetteville, GA 30214-1568 · (770) 464-8428