Organization · Type 2 NPI

Southern Dermatology, P.a.

Specialist · Raleigh, NC

NPI number 1568415586 Active

Practice location

4201 Lake Boone Trl, Suite 200
Raleigh, NC 27607-7511

Call (919) 782-2152 Map

Fax (919) 782-7929

Mailing address

1306 Concourse Dr Ste 201
Linthicum Heights, MD 21090-1033

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X9900389 (NC)

Specialist: 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.

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About NPI 1568415586

Southern Dermatology, P.a.'s National Provider Identifier is 1568415586, issued on May 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 14, 2025.