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

Northside Dermatology Associates, PC

Organization Specialist · NPI 1508047846

Northside Dermatology Associates, PC 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

755 Mount Vernon Hwy Ste 110
Atlanta, GA 30328-4274
Phone: (404) 256-9692
Fax: (404) 256-9404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 012988 (GA)

Record details

NPI number1508047846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stewart Wiegand — Doctor/Owner · (404) 256-5611
NPI enumeratedNovember 15, 2007
Last updated in NPPESDecember 5, 2007
Mailing address755 Mount Vernon Hwy, Suite 110, Atlanta, GA 30328-4274

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