OrganizationActive
Summit Dermatology & Laser Center, P.C.
NPI 1508920992 · Dermatology Physician · Brunswick, GA
Provider details
- NPI number
- 1508920992
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lawrence Blasik, Owner(912) 262-1801
- License
- 055102 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Glynco Pkwy
Bldg 1, Suite 20
Brunswick, GA 31525-7921
Phone: (912) 262-1801
Fax: (912) 264-6262
Street-level locationGet directions
Mailing address
1111 Glynco Pkwy
Brunswick, GA 31525-7921
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2008-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.