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PIEDMONT PLASTIC SURGERY AND DERMATOLOGY NPI 1316056104


NPI Information

NPI: 1316056104
Provider Name: PIEDMONT PLASTIC SURGERY AND DERMATOLOGY
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 34D0889655

Address:
700 N LAFAYETTE ST
SHELBY, NC
ZIP 28150
Phone: (704) 484-0464
Get Directions

PIEDMONT PLASTIC SURGERY AND DERMATOLOGY is a dermatology in Shelby, NC. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. PIEDMONT PLASTIC SURGERY AND DERMATOLOGY NPI is 1316056104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 N LAFAYETTE ST
SHELBY, NC
ZIP 28150-829
Phone: (704) 484-0464

The provider's authorized official is Lawrence Pearson .
The authorized official title is Owner and has the following contact phone number (704) 484-0464.

The CLIA number assigned to this NPI record is 34D0889655 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/9/2012.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

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
10138TOTHERNORTH CAROLINABCBS
28966460MEDICAIDNORTH CAROLINA
32325703MEDICARE PINNORTH CAROLINA
4DG7183MEDICARE 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

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