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Contact Information

HENDERSONVILLE DERMATOLOGY, PLLC
15 MARKET CENTER DR
STE A
FLAT ROCK, NC28731-8528
 Phone: 828-697-1170
 Fax: 828-698-4939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for HENDERSONVILLE DERMATOLOGY, PLLC

NPI Number 1770949398
LBN Legal business name HENDERSONVILLE DERMATOLOGY, PLLC
Authorized official SETH COHEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2016
Last updated 01/17/2019 - About 7 years ago
Identifiers
NC License # 33967
NC Other F459 MEDICARE
NC Other DW3295 RAILROAD MEDICARE
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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