PINEHURST SKIN SURGERY CENTER PLLC NPI 1235324344

NPI Information

PINEHURST SKIN SURGERY CENTER PLLC is a clinical and laboratory dermatological immunology dermatology in Pinehurst, NC. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. PINEHURST SKIN SURGERY CENTER PLLC NPI is 1235324344. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

289 OLMSTED BLVD
SUITE 5
PINEHURST, NC
ZIP 28374-729
Phone: (910) 295-2945
Fax: (910) 295-2937

The provider's authorized official is Candace Williamson King .
The authorized official title is Physician and has the following contact phone number (910) 295-2945.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 7/12/2012.

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:

Other Identifiers

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