Organization
SKIN WELLNESS DERMATOLOGY LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELINA PIERCE MD (OWNER)
(770) 765-2386
Entity
Organization
Contact information
Practice address
12 PACES LAKES OVERLOOK, DALLAS, GA 30157-1764
(770) 765-2386
Mailing address
12 PACES LAKES OVERLOOK, DALLAS, GA 30157-1764
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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