Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology at Skincare 5th Avenue, LLC

Organization Dermatology Physician · NPI 1366277436

Advanced Dermatology at Skincare 5th Avenue, LLC provides Dermatology Physician services in Peachtree City, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2579 Highway 54
Peachtree City, GA 30269-1451
Phone: (770) 487-2645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1366277436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Galitzin — Ceo · (707) 487-2645
NPI enumeratedSeptember 6, 2024
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address2579 Highway 54, Peachtree City, GA 30269-1451

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