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

Riverside Dermatology and Aesthetic Center, PC

Organization Dermatology Physician · NPI 1982010716

Riverside Dermatology and Aesthetic Center, PC is a Dermatology Physician in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

2045 Centre Stone Ct Ste B
Columbus, GA 31904-4571
Phone: (706) 257-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 70111 (GA)

Record details

NPI number1982010716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Fussell — Physician · (706) 257-4189
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 1, 2014
Mailing address2045 Centre Stone Ct, Suite B, Columbus, GA 31904-4571

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