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Contact Information

EASTERN DERMATOLOGY, PA
941 NEWMAN RD
NEW BERN, NC28562-5252
 Phone: 252-634-2885
 Fax: 252-634-2887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EASTERN DERMATOLOGY, PA

NPI Number 1306058672
LBN Legal business name EASTERN DERMATOLOGY, PA
Authorized official CAMERON SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 09/25/2012 - About 14 years ago
Identifiers
NC Medicaid 5902488
NC Other 01498 BCBS NC GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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