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NPI 1639313489

OrganizationActive

Aesthetic Dermatology, PC

NPI 1639313489 · Dermatology Physician · Cumming, GA

Provider details

NPI number: 1639313489
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Trisha Daley, President/Physician
License: 059398 (GA)

Practice location

960 Sanders Rd

Suite 300

Cumming, GA 30041-5962

Phone: (770) 205-0104

Fax: (770) 205-0975

More GA providers

Mailing address

960 Sanders Rd

Cumming, GA 30041-5962

Registry dates

Enumerated: 2009-04-23
Last updated: 2009-07-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aesthetic Dermatology, PC — NPI 1639313489, Cumming, GA | NPI Central