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Contact Information

ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC
600 PETER JEFFERSON PKWY STE 310
CHARLOTTESVILLE, VA22911-8836
 Phone: 434-977-0027
 Fax: 434-923-3376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ADVANCED DERMATOLOGY OF CHARLOTTESVILLE PLC · (Female)

NPI # 1669561791
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2006
Last updated 02/27/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • Other 2145994 MAMSI LIFE AND HEALTH
  • VA Other 4368544 AETNA US HEALTHCARE
  • VA Other 187666 ANTHEM
  • VA Other 413137 SOUTHERN HEALTH
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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