Salisbury Dermatology Clinic, P. A.

NPI 1104880400 - Dermatology - 207N00000X

NPI Details
NPI 1104880400
Enumeration Date 04/13/2006
Last Updated 08/18/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GWEN GWEN
Position OFFICE MANAGER
Phone (704) 636-0971
Fax (704) 636-8554
Practice Location
203 MOCKSVILLE AVE
SUITE B
SALISBURY NC, 28144-3359, US
Phone (704) 636-0971
Fax (704) 636-8554
Business Location
PO BOX 2145
203 B MOCKSVILLE AVENUE
SALISBURY NC, 28145-2145, US
Phone (704) 636-0971
Fax (704) 636-8554
Toxanomy
Taxonomy Code 207N00000X
License State North Carolina
License Number 17455
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According to our database, Salisbury Dermatology Clinic, P. A. NPI is 1104880400, taxonomy code is 207N00000X and license number is 17455, license state is located at North Carolina. Salisbury Dermatology Clinic, P. A. physically located at 203 Mocksville Ave, Salisbury NC, 28144-3359. NPI Number 1033115704 has the healthcare provider type.

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1104880400 NPI number is provided on an as is basis without warranty of any kind. 1104880400 is maintained by the National Plan & Provider Enumeration System. The contents of Salisbury Dermatology Clinic, P. A. are for informational purposes only.