Central Carolina Dermatology Clinic, Inc

LBN: Central Carolina Dermatology Clinic, Inc
Central Carolina Dermatology Clinic, Inc is an health care organization with primary practice located at 4010 Mendenhall Oaks Pkwy , High Point NC 27265-8076. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, which is considered as the primary health care specialty. Central Carolina Dermatology Clinic, Inc can be contacted via phone (336) 887-3195, or through Kearns, Kristine N via phone (336) 934-5070.

Contact Information

Primary practice address
4010 Mendenhall Oaks Pkwy High Point NC 27265-8076
Fax: (336) 887-3194
Website:
Authorized official contact:
Name: Kearns, Kristine N

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 34D0238143 North Carolina

Profile Details

NPI number 1316943145
LBN Legal business name Central Carolina Dermatology Clinic, Inc
DBA Doing business as
Authorized official Kearns, Kristine N
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 24th, 2021 - about 4 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 1316943145 NPPES
North Carolina Other CD4358 RAILROAD MEDICARE
North Carolina Other 230129 RAILROAD MEDICARE
North Carolina MEDICAID 8901788 RAILROAD MEDICARE

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