Eastern Dermatology, P.A.
LBN: Eastern Dermatology, P.A.
Eastern Dermatology, P.A. is an health care organization with primary practice located at 420 Spring Forest Rd , Greenville NC 27834-7244. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Eastern Dermatology, P.A. can be contacted via phone (252) 752-4124, or through Smith, Cameron Langley via phone (252) 752-4124.
Contact Information
Primary practice address
420 Spring Forest Rd
Greenville NC 27834-7244
Phone: (252) 752-4124
Fax: (252) 758-8954
Website:
Authorized official contact:
Name: Smith, Cameron Langley Doctor of Medicine (MD)
Phone: (252) 752-4124
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ||
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1598759482 |
|---|---|
| LBN Legal business name | Eastern Dermatology, P.A. |
| DBA Doing business as | |
| Authorized official | Smith, Cameron Langley Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | May 20th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598759482 | NPPES |
| North Carolina | MEDICAID | 5922478 | |
| North Carolina | Other | 01498 |
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