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DERMATOLOGY SPECIALISTS OF CHARLOTTE PA NPI 1962701052


NPI Information

NPI: 1962701052
Provider Name: DERMATOLOGY SPECIALISTS OF CHARLOTTE PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 34D2144393

Address:
8936 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC
ZIP 28277
Phone: (704) 341-0090
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DERMATOLOGY SPECIALISTS OF CHARLOTTE PA is a specialist in Charlotte, 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. DERMATOLOGY SPECIALISTS OF CHARLOTTE PA NPI is 1962701052. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8936 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC
ZIP 28277-660
Phone: (704) 341-0090

The provider's authorized official is Deborah G Nixon .
The authorized official title is President and has the following contact phone number (704) 341-0090.

The CLIA number assigned to this NPI record is 34D2144393 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2011 and was last updated on 6/1/2015.


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
1174400000XSpecialist9800340NORTH CAROLINAYes

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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