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

Skin Wellness Dermatology Lc

Organization Dermatology Physician · NPI 1871455121

Skin Wellness Dermatology Lc provides Dermatology Physician services in Dallas, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12 Paces Lakes Overlook
Dallas, GA 30157-1764
Phone: (770) 765-2386
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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 number1871455121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelina Pierce — Owner · (770) 765-2386
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address12 Paces Lakes Overlook, Dallas, GA 30157-1764

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