OrganizationActive
Aqua Dermatology of Georgia PC
NPI 1114022167 · Dermatology Physician · Marietta, GA
Provider details
- NPI number
- 1114022167
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore Schiff, Owner(770) 422-5557
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Practice location
835 Cogburn Ave Nw
Suite 100
Marietta, GA 30060-1031
Phone: (770) 422-5557
Fax: (770) 422-5456
Approximate (ZIP-level) locationGet directions
Mailing address
835 Cogburn Ave Nw
Marietta, GA 30060-1031
Other names (DBA / former)
- Doing business as
- Goodman Dermatology, Skin Cancer Specialists PC & Aesthetics Center
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.