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GOLDSBORO SKIN CENTER PA NPI 1972567634


NPI Information

NPI: 1972567634
Provider Name: GOLDSBORO SKIN CENTER PA
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
2613 HOSPITAL RD
GOLDSBORO, NC
ZIP 27534
Phone: (919) 736-0222
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GOLDSBORO SKIN CENTER PA is a procedural dermatology dermatology in Goldsboro, NC. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). GOLDSBORO SKIN CENTER PA NPI is 1972567634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2613 HOSPITAL RD
GOLDSBORO, NC
ZIP 27534-424
Phone: (919) 736-0222
Fax: (919) 736-0223

The provider's authorized official is John L Jennings .
The authorized official title is President and has the following contact phone number (919) 736-0222.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 8/22/2020.


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
1207NS0135XDermatologyProcedural Dermatology27212NORTH CAROLINAYes
2207ND0900XDermatologyDermatopathology27212NORTH CAROLINAX
3207N00000XDermatology27212NORTH CAROLINAX

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
189012KTMEDICAIDNORTH 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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