ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC is an ambulatory surgical clinic center in Johns Creek, GA. ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC NPI is 1013601517. The provider is registered as an organization entity type.
The provider's business location address is:
10750 MEDLOCK BRIDGE RD STE 102 JOHNS CREEK, GA ZIP 30097-705 Phone: (470) 545-2124 Fax: (404) 844-0499
The provider's authorized official is Mark F Baucom . The authorized official title is Owner and has the following contact phone number (404) 844-0496.
The enumeration date for this NPI number is 6/7/2023 and was last updated on 12/13/2023.
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:
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: 11/21/2025
NPI Synchronization or Removal
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