PREMIERE DERMATOLOGY AND SURGERY, LLC
Dermatology at Stone Mountain Hwy, Lilburn, GA

License number
Georgia 39318
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: PAUL BOUTTE SR.
Title: PRACTICE MANAGER
Phone: (404) 218-9671
Address
Address
4650 Stone Mountain Hwy, Lilburn, GA 30047
National Provider ID: 1518163310
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIERE DERMATOLOGY & SURGERY, LLC

Lilburn, GA  -  Grayson, GA

Industry:
Medical Doctor's Office, Dermatologist, Pediatric Dermatologist, ...
Doing business as:
Premiere Dermatology Surgery
Registration:
Mar 17, 2000
Site:
premieredermatologyandsurgery.com, premderm.com
Phone:
(678) 344-2450 (Phone), (404) 286-3178 (Phone)
Description:
We specialize in Dermatology, serving all your skin, hair, and nail needs. We also have a sister company, "Aesthetic & Laser Boutique", which provides cosmetic procedures including; Smartlipo, Fat Tra...
Addresses:
4650 Stone Mtn Hwy, Lilburn, GA 30047 (Physical)
4650 Stone Mtn Hwy, Grayson, GA 30017
State ID:
0012891
Business type:
Domestic Limited Liability Company
Physician Assistants:
Crystal Johnson (Administration),Windell D. Boutte (Dermatology, Medical Director, Medical Doctor),Jessie Wright (Assistant Office Manager),...
Agent:
Windell C Davis-Boutte,4650 Stone Mtn Hwy, Lilburn, GA (Physical)
Categories:
Physicians & Surgeons - Dermatology

Dermatology licenses in Georgia

Other Doctors licenses in Georgia