SOUTHERN DERMATOLOGY, P.A. is a specialist in Raleigh, 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. SOUTHERN DERMATOLOGY, P.A. NPI is 1568415586. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4201 LAKE BOONE TRL
SUITE 200
RALEIGH, NC
ZIP 27607-511
Phone: (919) 782-2152
Fax: (919) 782-7929
The provider's authorized official is Angela Ruth Peterman .
The authorized official title is Md and has the following contact phone number (443) 351-3376.
The CLIA number assigned to this NPI record is 34D0240587 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/23/2024.