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DERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC.
NPI 1710213947
Specialist in Stockbridge, GA

Active since October 22, 2009
1215 EAGLES LANDING PARKWAY, SUITE 205, STOCKBRIDGE, GA 30281(770) 389-9116(770) 506-4580 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology & Skin Cancer Prevention Center, Inc. NPPES

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

DERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC. (NPI 1710213947) is a healthcare organization registered as a specialist in Stockbridge, Georgia and active in the NPI registry since October 2009. The organization lists David S. Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1710213947
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC.
Location Address1215 EAGLES LANDING PARKWAY, SUITE 205Stockbridge, GA 30281-7280
Mailing Address1215 Eagles Landing Parkway, Suite 205Stockbridge, GA 30281-7280 · (770) 389-9116 · Fax (770) 506-4580
Phone(770) 389-9116
Fax(770) 506-4580
Organization SubpartNo
Authorized OfficialDavid S. BryantOwner · (770) 389-9116
Enumeration DateOctober 22, 2009
Last NPPES UpdateMarch 23, 2011
✔ NPI 1710213947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in GA · 052394✔ Licensed in GA · 005538
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1215 EAGLES LANDING PARKWAY, Stockbridge, GA 30281
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Other Identifiers 3

Medicare PIN202-G701235GA
Medicare UPIN07BBSSP
Medicare UPINP1612

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. THOMAS R FITZSIMMONS MD PC
Surgery
1215 EAGLES LANDING PARKWAY, SUITE 105
STOCKBRIDGE, GA 30281
Henry County (770) 997-5347

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 Dermatology & Skin Cancer Prevention Center, Inc.'s NPI number?

The NPI number for Dermatology & Skin Cancer Prevention Center, Inc. is 1710213947. It was assigned to this organization in the NPPES registry on October 22, 2009.

Where is Dermatology & Skin Cancer Prevention Center, Inc. located?

Dermatology & Skin Cancer Prevention Center, Inc. is located at 1215 Eagles Landing Parkway Suite 205, Stockbridge, GA 30281. The listed phone number is (770) 389-9116.

What is Dermatology & Skin Cancer Prevention Center, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology & Skin Cancer Prevention Center, Inc. was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.