Dermatology
PREMIERE DERMATOLOGY AND SURGERY, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1518163310 · enumerated 2007-06-27 · record updated 2015-06-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PAUL BOUTTE, Practice Manager · (404) 218-9671
Other names: PREMERE DERMATOLOGY AND SURGERY, LLC
Addresses and phones
- Mailing address 4650 STONE MOUNTAIN HWY, LILBURN, GA, 30047 (678) 344-2450 Fax (678) 344-2501 Google Maps Apple Maps OpenStreetMap
- Practice location 4650 STONE MOUNTAIN HWY, LILBURN, GA, 30047 (678) 344-2450 Fax (678) 344-2501 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 39318 GA
In this directory
Locations and evidence
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Practice location
LILBURN, GA, 30047
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.