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Contact Information

EASTERN DERMATOLOGY & PATHOLOGY
800 N MCPHERSON XING
ELIZABETH CITY, NC27909-9673
 Phone: 252-331-1780
 Fax: 252-331-2876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EASTERN DERMATOLOGY PATHOLOGY · (Female)

NPI Number 1932274610
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2006
Last updated 06/28/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5902503
  • NC Other 01498 BCBS NC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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