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Athens-Oconee Skin Cancer & Dermatology, LLC

Procedural Dermatology Physician in Watkinsville, GA · enumerated 2007 · authorized official Stella Bulengo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790989291

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Registry record

Entity type Organization (Type 2)
Legal business name Athens-Oconee Skin Cancer & Dermatology, LLC
Other name <Unavail>
Practice address 1582 Mars Hill Rd, Suite A, Watkinsville, GA, 30677
Phone (706) 769-7546
Fax (706) 769-2443
Enumeration date Jun 11, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 050931 (GA) Secondary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License 050931 (GA) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License 050931 (GA) Primary

Authorized official

Name Stella Bulengo
Title Owner
Phone (706) 769-7546

Other identifiers

Identifier Type State Issuer
050931 Other GA LICENSE
1194717447 Other - NPI INDIVIDUAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Athens-Oconee Skin Cancer & Dermatology, LLC?
NPPES lists Stella Bulengo (Owner) as the authorized official for this organization.
What is the NPI number for Athens-Oconee Skin Cancer & Dermatology, LLC?
The NPI for Athens-Oconee Skin Cancer & Dermatology, LLC is 1790989291, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.