NPI age
19 years
Enumerated 2007-02-22
● Active Type 2 · Organization
Dermatology Boutique Llc
Dermatology Boutique Llc is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Griffin
Owner
Last NPPES update
2022-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
550 Peachtree St Ne Ste 1490
Atlanta, GA 303082244
Mailing address
550 Peachtree St Ne Ste 1490
Atlanta, GA 303082244
Authorized official
Wakitha A. Griffin, MD
Owner
📞 4045234223
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jennifer Banks, WHNP-BC Nurse Practitioner NPI 1679009401
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
INTOWN DERMATOLOGY
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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