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

Premiere Dermatology and Surgery, LLC

Organization Dermatology Physician · NPI 1518163310

Premiere Dermatology and Surgery, LLC is a Dermatology Physician in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4650 Stone Mountain Hwy
Lilburn, GA 30047
Phone: (678) 344-2450
Fax: (678) 344-2501
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 39318 (GA)

Record details

NPI number1518163310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Boutte — Practice Manager · (404) 218-9671
Other names Premere Dermatology And Surgery, Llc
NPI enumeratedJune 27, 2007
Last updated in NPPESJune 17, 2015
Mailing address4650 Stone Mountain Hwy, Lilburn, GA 30047

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