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DERMATOLOGY CARE OF CHARLOTTE NPI 1639195126


NPI Information

NPI: 1639195126
Provider Name: DERMATOLOGY CARE OF CHARLOTTE

Former Legal Business Name: DERMATOLOGY SPECIALISTS OF CHARLOTTE

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 34D1057244

Address:
15830 JOHN J. DELANEY DRIVE
#100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 341-0090
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DERMATOLOGY CARE OF CHARLOTTE is a dermatology in Charlotte, 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. DERMATOLOGY CARE OF CHARLOTTE NPI is 1639195126. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dermatology Specialists Of Charlotte.

The provider's business location address is:

15830 JOHN J. DELANEY DRIVE
#100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 341-0090
Fax: (704) 341-0092

The provider's authorized official is James L. Seward .
The authorized official title is President/owner and has the following contact phone number (704) 821-0615.

The CLIA number assigned to this NPI record is 34D1057244 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/20/2011.


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
1207N00000XDermatology9800340NORTH CAROLINAYes

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
12260079MEDICARE ID-TYPE UNSPECIFIED
2G84579MEDICARE UPINNORTH 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: 11/14/2023

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