Individual provider · Type 1 NPI

Jennifer Marie Defazio, MD

Procedural Dermatology Physician · Greenville, NC

NPI number 1508988742 Active

Practice location

517 Moye Blvd
Greenville, NC 27834-2849

Call (252) 744-3109 Map

Fax (252) 744-2096

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135X2009-01325 (NC)
Procedural Dermatology Physician 207NS0135X22380 (WV)

Procedural Dermatology Physician: 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 t…

57 other providers at this address

About NPI 1508988742

Jennifer Marie Defazio, MD's National Provider Identifier is 1508988742, issued on Apr 6, 2007. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Greenville, NC. The record was last updated on Feb 7, 2024.