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ALAMANCE SKIN CENTER NPI 1366568107


NPI Information

NPI: 1366568107
Provider Name: ALAMANCE SKIN CENTER
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 34D0991848

Address:
1734 WESTBROOK AVE
BURLINGTON, NC
ZIP 27215
Phone: (336) 584-5801
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ALAMANCE SKIN CENTER is a specialist in Burlington, NC. The provider is an 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. ALAMANCE SKIN CENTER NPI is 1366568107. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1734 WESTBROOK AVE
BURLINGTON, NC
ZIP 27215-721
Phone: (336) 584-5801
Fax: (336) 584-5860

The provider's authorized official is Lisa G Jones .
The authorized official title is Office Manager and has the following contact phone number (336) 584-5801.

The CLIA number assigned to this NPI record is 34D0991848 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/22/2007 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist32755NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12322623MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.