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

Advanced Dermatology of Georgia, LLC

Organization Dermatology Physician · NPI 1184005068

Advanced Dermatology of Georgia, LLC provides Dermatology Physician services in Albany, Georgia. Registered with an NPI since 2015.

In the registry since
2015
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

401 W 4th Ave
Albany, GA 31701-1915
Phone: (229) 883-1130
Fax: (229) 883-1153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1184005068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Declue — Director Of Provider Services · (407) 875-2080
NPI enumeratedJune 16, 2015
Last updated in NPPESJanuary 22, 2018
Mailing address151 Southhall Ln, Suite 300, Maitland, FL 32751-7176

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