MEDICARE: GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1427614577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC

Provider Business Mailing Address
First Line	:	2400 BELLEVUE RD STE #21-A
Second Line	:
City	:	DUBLIN
State	:	GA
Zip	:	31021-2890
Country	:	US
Telephone Number	:	478-328-0281
Fax Number	:	478-328-0438

Provider Business Practice Location Address
First Line	:	2110 WOODSIDE EXECUTIVE COURT
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-3809
Country	:	US
Telephone Number	:	803-644-8900
Fax Number	:	803-644-8995

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL J SHARKEY
Credential	:	MD
Telephone Number	:	478-275-7202

Provider Enumeration Date	:	05/14/2019
Last Update Date	:	05/14/2019

Similar Medicare Providers

1962406900 — DR. JOHN R COOK M.D.
Practice Location Address:

2110 WOODSIDE EXECUTIVE CT
AIKEN, SC
29803-3809

Practice Phone: 803-644-8900
Practice Fax: 803-644-8995

1821367046 — SOUTHERN DERMATOLOGY LLC
Practice Location Address:

2110 WOODSIDE EXECUTIVE CT
AIKEN, SC
29803-3809

Practice Phone: 803-644-5779
Practice Fax:

1144756388 — CSRA CARE GROUP, INC
Practice Location Address:

2130 WOODSIDE EXECUTIVE CT
AIKEN, SC
29803-3809

Practice Phone: 803-278-0250
Practice Fax: 803-278-0251

1629092861 — TANNIS JEANETTE BOLTON PA
Practice Location Address:

131 RINEHART WAY
AIKEN, SC
29803-1703

Practice Phone: 803-335-2200
Practice Fax: 803-649-7966

1013081256 — ERIN P STEWART P.A.-C
Practice Location Address:

131 RINEHART WAY
AIKEN, SC
29803-1703

Practice Phone: 803-335-2200
Practice Fax: 803-649-7966

1740787332 — DR. TIFFANY RENEE' BRYAN DO
Practice Location Address:

131 RINEHART WAY
AIKEN, SC
29803-1703

Practice Phone: 803-335-2200
Practice Fax: 803-649-7966

Directions to “GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.