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

Skin Wellness Dermatology Lc

Organization Dermatology Physician · NPI 1871455121

Skin Wellness Dermatology Lc is a Dermatology Physician in Dallas, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12 Paces Lakes Overlook
Dallas, GA 30157-1764
Phone: (770) 765-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1871455121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelina Pierce — Owner · (770) 765-2386
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address12 Paces Lakes Overlook, Dallas, GA 30157-1764

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