Organization
DECATUR DERMATOLOGY & AESTHETICS, LLC
Active
Other names
Decatur Dermatology & Aesthetics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI BAENDER MD (OWNER)
(480) 277-2656
Entity
Organization
Contact information
Practice address
150 E PONCE DE LEON AVE STE 150, DECATUR, GA 30030-2566
(480) 277-2656
Mailing address
216 GLENDALE AVE, DECATUR, GA 30030-1918
(480) 277-2656
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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