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

Southern Dermatology PC

Organization Dermatology Physician · NPI 1437437837

Southern Dermatology PC is a Dermatology Physician in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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

1805 Herrington Rd Bldg 3 Ste A
Lawrenceville, GA 30043-7987
Phone: (770) 817-2592
Fax: (678) 377-8167
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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 045299 (GA)

Record details

NPI number1437437837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Winfred Moody — Owner · (770) 817-2592
NPI enumeratedAugust 2, 2011
Last updated in NPPESSeptember 28, 2011
Mailing address1805 Herrington Rd, Building 3, Suite A, Lawrenceville, GA 30043-7987

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