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

Georgia Dermatologic Surgery Center, PC

Organization MOHS-Micrographic Surgery Physician · NPI 1720100522

Georgia Dermatologic Surgery Center, PC is an MOHS-Micrographic Surgery Physician in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5555 Peachtree Dunwoody Rd NE Ste G65
Atlanta, GA 30342-1703
Phone: (404) 943-1996
Fax: (404) 943-9464
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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

Record details

NPI number1720100522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Baucom — President · (404) 943-1996
NPI enumeratedApril 4, 2007
Last updated in NPPESJanuary 5, 2012
Mailing address5555 Peachtree Dunwoody Rd Ne, Suite G65, Atlanta, GA 30342-1703

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