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

Marietta Dermatology Associates PA

Organization Dermatology Physician · NPI 1417007212

Marietta Dermatology Associates PA is a Dermatology Physician in Marietta, Georgia. Registered with an NPI since 2007.

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

See every abbreviation used in this directory →

Practice location Address checks out

111 Marble Mill Rd NW Marietta Dermatology Associates Pa
Marietta, GA 30060-1047
Phone: (770) 422-1013
Fax: (770) 514-5996
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1417007212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gobin Coppa — Director Of Billing Office · (770) 422-1013
NPI enumeratedJanuary 12, 2007
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address111 Marble Mill Rd Nw, Marietta Dermatology Associates Pa, Marietta, GA 30060-1047

Other providers in Marietta