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:
Map and Directions
Authorized official contact:
Name: Smith, Cameron Langley Doctor of Medicine (MD)
Phone: (252) 752-4124

Health care specialties

SpecialtyCodeLicense #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 11 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 1598759482 NPPES
North Carolina MEDICAID 5922478
North Carolina Other 01498

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