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

Skin Center of Georgia, PC

Organization Dermatology Physician · NPI 1407215817

Skin Center of Georgia, PC is a Dermatology Physician in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

1250 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3871
Phone: (770) 535-7546
Fax: (770) 535-7591
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 058402 (GA)

Record details

NPI number1407215817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Caudell — President · (706) 201-6324
Other names Georgia Skin Center
NPI enumeratedFebruary 12, 2016
Last updated in NPPESMarch 10, 2016
Mailing addressPo Box 1456, Gainesville, GA 30503-1456

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