IndividualActive
Mark Baucom, M.D.
NPI 1831184357 · MOHS-Micrographic Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1831184357
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 034773 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5555 Peachtree Dunwoody Rd Ne
Ste 206
Atlanta, GA 30342-1703
Phone: (404) 844-0496
Fax: (404) 943-9464
Approximate (ZIP-level) locationGet directions
Mailing address
5555 Peachtree Dunwoody Rd
Atlanta, GA 30342-1711
Additional practice locations (1)
- 10750 Medlock Bridge Rd Ste 101Johns Creek, GA 30097-1705Phone: (470) 545-2124Fax: (404) 844-0496
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2023-12-13
- Certified
- 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.