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FOREFRONT DERMATOLOGY S.C. NPI 1154938579


NPI Information

NPI: 1154938579
Provider Name: FOREFRONT DERMATOLOGY, S.C.

Doing Business As: ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 11D2105172

Address:
7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 634-4966
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FOREFRONT DERMATOLOGY, S.C. is a dermatology in St Simons Island, GA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. FOREFRONT DERMATOLOGY, S.C. NPI is 1154938579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Atlantic Shore Dermatology, A Forefront Dermatology Practice.

The provider's business location address is:

7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA
ZIP 31522-286
Phone: (912) 634-4966
Fax: (912) 634-6542

The provider's authorized official is Betsy J Wernli .
The authorized official title is President and has the following contact phone number (920) 482-0671.

The CLIA number assigned to this NPI record is 11D2105172 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 11/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207NS0135XDermatologyProcedural DermatologyNo
4207X00000XOrthopaedic SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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