OrganizationActive
Athens-Oconee Skin Cancer & Dermatology, LLC
NPI 1790989291 · Procedural Dermatology Physician · Watkinsville, GA
Provider details
- NPI number
- 1790989291
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stella Bulengo, Owner(706) 769-7546
- License
- 050931 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1582 Mars Hill Rd
Suite a
Watkinsville, GA 30677-4836
Phone: (706) 769-7546
Fax: (706) 769-2443
Approximate (ZIP-level) locationGet directions
Mailing address
1582 Mars Hill Rd
Watkinsville, GA 30677-4836
Other names (DBA / former)
- Other name
- Oconee Dermatopathology
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.