Organization · Type 2 NPI
Charlotte Dermatology,pa
Specialist · Conway, SC
NPI number
1720225501
Active
Practice location
660 Singleton Ridge Rd
Conway, SC 29526-9154
Fax (704) 364-4245
Mailing address
2630 E Seventh St, Suite 200
Charlotte, NC 28204-4318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 31329 (SC) |
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 1720225501
Charlotte Dermatology,pa's National Provider Identifier is 1720225501, issued on Jan 15, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Conway, SC. The record was last updated on Jan 15, 2009.