Carolina Dermatology, Llc

LBN: Carolina Dermatology, Llc
Carolina Dermatology, Llc is an health care organization with primary practice located at 10502 Park Rd Suite 100, Charlotte NC 28210-8479. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Carolina Dermatology, Llc can be contacted via phone (704) 542-1366, or through Cooley, Gerald Earl via phone (704) 542-1366.

Contact Information

Primary practice address
10502 Park Rd Suite 100 Charlotte NC 28210-8479
Phone: (704) 542-1366
Fax: (704) 542-1063
Website:
Map and Directions
Authorized official contact:
Name: Cooley, Gerald Earl Doctor of Medicine (MD)
Phone: (704) 542-1366

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1144282930
LBN Legal business name Carolina Dermatology, Llc
DBA Doing business as
Authorized official Cooley, Gerald Earl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated May 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144282930 NPPES
North Carolina Other 0212C BCBS OF NC GROUP #

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