Organization · Type 2 NPI
Mecklenburg Dermatology Assoc. PA
Specialist · Charlotte, NC
NPI number
1831176643
Active
Practice location
309 S. Sharon Amity, Suite 200
Charlotte, NC 28211-0000
Fax (704) 344-9844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 9400642 (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 1831176643
Mecklenburg Dermatology Assoc. PA's National Provider Identifier is 1831176643, issued on Dec 22, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 26, 2012.