Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Riverside Dermatology and Aesthetic Center, PC

Organization Dermatology Physician · NPI 1982010716

Riverside Dermatology and Aesthetic Center, PC provides Dermatology Physician services in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2045 Centre Stone Ct Ste B
Columbus, GA 31904-4571 Not confirmed with CMS for 12 years — call before visiting
Phone: (706) 257-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 70111 (GA)

Record details

NPI number1982010716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Fussell — Physician · (706) 257-4189
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 1, 2014
Mailing address2045 Centre Stone Ct, Suite B, Columbus, GA 31904-4571

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