OrganizationActive
Georgia Dermatologic Surgery Center, PC
NPI 1720100522 · MOHS-Micrographic Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1720100522
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mark Baucom, President
Practice location
5555 Peachtree Dunwoody Rd Ne
Suite G65
Atlanta, GA 30342-1703
Phone: (404) 943-1996
Fax: (404) 943-9464
Mailing address
5555 Peachtree Dunwoody Rd Ne
Atlanta, GA 30342-1703
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2012-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.