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

Summit Dermatology & Laser Center, PC

Organization Dermatology Physician · NPI 1508920992

Summit Dermatology & Laser Center, PC is a Dermatology Physician in Brunswick, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

1111 Glynco Pkwy Bldg 1 Ste 20
Brunswick, GA 31525-7921
Phone: (912) 262-1801
Fax: (912) 264-6262
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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 055102 (GA)

Record details

NPI number1508920992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Blasik — Owner · (912) 262-1801
NPI enumeratedDecember 20, 2006
Last updated in NPPESApril 16, 2008
Mailing address1111 Glynco Pkwy, Bldg 1, Suite 20, Brunswick, GA 31525-7921

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