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Contact Information

EASTERN DERMATOLOGY & PATHOLOGY
800 N MCPHERSON XING
ELIZABETH CITY, NC27909-9673
 Phone: 252-331-1780
 Fax: 252-331-2876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EASTERN DERMATOLOGY & PATHOLOGY

NPI Number 1932274610
LBN Legal business name EASTERN DERMATOLOGY & PATHOLOGY
Authorized official CAMERON SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 06/28/2012 - About 14 years ago
Identifiers
NC Medicaid 5902503
NC Other 01498 BCBS NC
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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