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Contact Information

DERMATOLOGY CARE OF CHARLOTTE, PA
15830 BALLANTYNE MEDICAL PL STE 100
CHARLOTTE, NC28277-0762
 Phone: 704-341-0090
 Fax: 704-341-0092
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY CARE OF CHARLOTTE, PA

NPI Number 1639195126
LBN Legal business name DERMATOLOGY CARE OF CHARLOTTE, PA
Authorized official JAMES SEWARD - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2006
Last updated 04/28/2023 - About 3 years ago
Identifiers
NC License # 9800340
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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