Goldsboro Skin Center Pa
LBN: Goldsboro Skin Center Pa
Goldsboro Skin Center Pa is an health care organization with primary practice located at 2613 Hospital Rd , Goldsboro NC 27534-9424. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Goldsboro Skin Center Pa can be contacted via phone (919) 736-0222, or through Jennings, John L via phone (919) 736-0222.
Contact Information
Primary practice address
2613 Hospital Rd
Goldsboro NC 27534-9424
Phone: (919) 736-0222
Fax: (919) 736-0223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 27212 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 27212 | North Carolina |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 27212 | North Carolina |
Profile Details
| NPI number | 1972567634 |
|---|---|
| LBN Legal business name | Goldsboro Skin Center Pa |
| DBA Doing business as | |
| Authorized official | Jennings, John L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Aug 22nd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972567634 | NPPES |
| North Carolina | MEDICAID | 89012KT |
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