OrganizationActive
Axis Dermatology LLC
NPI 1194658427 · Dermatology Physician · Peachtree Corners, GA
Provider details
- NPI number
- 1194658427
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hasan Khosravi, Chief Medical Officer(678) 779-0332
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6460 Spalding Dr Ste a
Peachtree Corners, GA 30092-1805
Phone: (678) 890-8035
Fax: (678) 487-5311
Approximate (ZIP-level) locationGet directions
Mailing address
6460 Spalding Dr Ste a
Peachtree Corners, GA 30092-1805
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.