OrganizationActive
Daec, Inc
NPI 1962767954 · Dermatology Physician · Marietta, GA
Provider details
- NPI number
- 1962767954
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Virginia Forney, President/Owner(404) 816-7900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4939 Lower Roswell Rd
Suite 104a
Marietta, GA 30068-4338
Phone: (404) 816-7900
Fax: (404) 816-7929
Street-level locationGet directions
Mailing address
Po Box 52226
Atlanta, GA 30355-0226
Other names (DBA / former)
- Doing business as
- Dermatology Affiliates East Cobb
Registry dates
- Enumerated
- 2012-07-06
- Last updated
- 2012-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.