OrganizationActive
Baucom & Mina Derm Surgery, LLC
NPI 1245780980 · MOHS-Micrographic Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1245780980
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mary Alice Mina, Owner
Practice location
5555 Peachtree Dunwoody Rd
Suite 206
Atlanta, GA 30342-1703
Phone: (404) 844-0496
Fax: (404) 844-0499
Mailing address
5555 Peachtree Dunwoody Rd
Atlanta, GA 30342-1703
Registry dates
- Enumerated
- 2016-10-06
- Last updated
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.