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RALEIGH SKIN SURGERY CENTER NPI 1881864411


NPI Information

NPI: 1881864411
Provider Name: RALEIGH SKIN SURGERY CENTER
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 34D1085830

Address:
3811 ED DR.
110
RALEIGH, NC
ZIP 27612
Phone: (919) 390-0200
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RALEIGH SKIN SURGERY CENTER is a mohs-micrographic surgery dermatology in Raleigh, 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. RALEIGH SKIN SURGERY CENTER NPI is 1881864411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3811 ED DR.
110
RALEIGH, NC
ZIP 27612-106
Phone: (919) 390-0200
Fax: (919) 390-0219

The provider's authorized official is Tamara S Housman .
The authorized official title is Medical Director and has the following contact phone number (919) 390-0210.

The CLIA number assigned to this NPI record is 34D1085830 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 10/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic Surgery200001428NORTH CAROLINANo
3207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12021987AOTHERMEDICARE PTAN

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: 4/28/2024

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