NPI: 1417934001
Provider Name: DILWORTH DERMATOLOGY AND LASER, PLLC
Former Legal Business Name: DERMATOLOGIC LASER CENTER, PLLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization
Specialization: MOHS-Micrographic Surgery
CLIA Number: 34D0244133
Address:
719 EAST BOULEVARD
CHARLOTTE, NC
ZIP 28203
Phone: (704) 376-9849
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DILWORTH DERMATOLOGY AND LASER, PLLC is a mohs-micrographic surgery dermatology in Charlotte, NC. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DILWORTH DERMATOLOGY AND LASER, PLLC NPI is 1417934001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Dermatologic Laser Center, Pllc.
The provider's business location address is:
719 EAST BOULEVARD
CHARLOTTE, NC
ZIP 28203
Phone: (704) 376-9849
Fax: (704) 333-0708
The provider's authorized official is Denise Hudson .
The authorized official title is Office Manager and has the following contact phone number (704) 376-9849.
The CLIA number assigned to this NPI record is 34D0244133 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 12/27/2005 and was last updated on 4/16/2024.