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Contact Information

EASTERN DERMATOLOGY, PA
4251 ARENDELL ST
SUITE A
MOREHEAD CITY, NC28557-2805
 Phone: 252-752-4124
 Fax: 252-758-8954
 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 1356576417
LBN Legal business name EASTERN DERMATOLOGY, PA
Authorized official CAMERON SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2009
Last updated 08/22/2011 - About 15 years ago
Identifiers
NC Medicaid 8901498
NC Other 01498 BCBSNC
NC Other 230298 MEDICARE 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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