SUMMIT DERMATOLOGY & LASER CENTER, P.C.
NPI 1508920992
Dermatology in Brunswick, GA

Active since December 20, 2006
1111 GLYNCO PKWY, BLDG 1, SUITE 20, BRUNSWICK, GA 31525(912) 262-1801(912) 264-6262 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Dermatology & Laser Center, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT DERMATOLOGY & LASER CENTER, P.C. (NPI 1508920992) is a healthcare organization registered as a dermatology in Brunswick, Georgia and active in the NPI registry since December 2006. The organization lists Lawrence George Blasik, Owner, as its authorized official.

NPPES Registry Identity

NPI1508920992
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUMMIT DERMATOLOGY & LASER CENTER, P.C.
Location Address1111 GLYNCO PKWY, BLDG 1, SUITE 20Brunswick, GA 31525-7921
Mailing Address1111 Glynco Pkwy, Bldg 1, Suite 20Brunswick, GA 31525-7921 · (912) 262-1801 · Fax (912) 264-6262
Fax(912) 264-6262
Organization SubpartNo
Authorized OfficialLawrence George BlasikOwner · (912) 262-1801
Enumeration DateDecember 20, 2006
Last NPPES UpdateApril 16, 2008
NPI 1508920992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 055102
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1111 GLYNCO PKWY, Brunswick, GA 31525

Other Identifiers 3

Medicare UPINC65657GA
OtherDB9882GA · Rr Medicare
Medicare PINGRP6763GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1111 GLYNCO PKWY
BRUNSWICK, GA 31525
Clinic/Center (Oncology)
1111 GLYNCO PKWY, SUITE 500
BRUNSWICK, GA 31525
Prosthetic/Orthotic Supplier
1111 GLYNCO PKWY, BUILDING 2, SUITE 110
BRUNSWICK, GA 31525
Clinic/Center (Ambulatory Surgical)
1111 GLYNCO PKWY, 3RD FLOOR
BRUNSWICK, GA 31525
Physical Therapist
1111 GLYNCO PKWY, SUITE 110
BRUNSWICK, GA 31525
Clinic/Center (Ambulatory Surgical)
1111 GLYNCO PKWY, 3RD FLOOR
BRUNSWICK, GA 31525
Physician Assistant
1111 GLYNCO PKWY, BUILDING 1, SUITE 20
BRUNSWICK, GA 31525
Clinic/Center (Urgent Care)
1111 GLYNCO PKWY, BUILDING 1, SUITE 10
BRUNSWICK, GA 31525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Dermatology & Laser Center, P.C.'s NPI number?

The NPI number for Summit Dermatology & Laser Center, P.C. is 1508920992. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Summit Dermatology & Laser Center, P.C. located?

Summit Dermatology & Laser Center, P.C. is located at 1111 Glynco Pkwy Bldg 1, Suite 20, Brunswick, GA 31525. The listed phone number is (912) 262-1801.

What is Summit Dermatology & Laser Center, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Summit Dermatology & Laser Center, P.C. was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.