Athens-Oconee Skin Cancer & Dermatology, LLC
NPI #1790989291 in Watkinsville, Georgia
Provider Information
- NPI Number
- 1790989291
- Entity Type
- Organization
- Organization Name
- Athens-Oconee Skin Cancer & Dermatology, LLC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Jun 11, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1582 MARS HILL RD
- Address 2
- SUITE A
- City
- Watkinsville
- State
- Georgia
- ZIP Code
- 30677-4836
- Phone
- (706) 769-7546
Authorized Official
- Name
- STELLA MARIES BULENGO, M.D.
- Title
- OWNER
- Phone
- (706) 769-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Dermatopathology — Dermatopathology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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