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

Super Dermatology LLC

Organization Dermatology Physician · NPI 1669971776

Super Dermatology LLC is a Dermatology Physician in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1364 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone: (770) 285-3533
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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 60121 (GA)

Record details

NPI number1669971776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dione Super — Owner · (770) 285-3533
NPI enumeratedFebruary 3, 2018
Last updated in NPPESFebruary 3, 2018
Mailing address1351 Audubon Ct Sw, Atlanta, GA 30311-2471

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