Mecklenburg Dermatology Assoc. Pa

LBN: Mecklenburg Dermatology Assoc. Pa
Mecklenburg Dermatology Assoc. Pa is an health care organization with primary practice located at 309 S. Sharon Amity Suite 200, Charlotte NC 28211-0000. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mecklenburg Dermatology Assoc. Pa can be contacted via phone (704) 344-8846, or through Swartz, Sharon M. via phone (704) 344-8846.

Contact Information

Primary practice address
309 S. Sharon Amity Suite 200 Charlotte NC 28211-0000
Fax: (704) 344-9844
Website:
Authorized official contact:
Name: Swartz, Sharon M. Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9400642 North Carolina

Profile Details

NPI number 1831176643
LBN Legal business name Mecklenburg Dermatology Assoc. Pa
DBA Doing business as
Authorized official Swartz, Sharon M. Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 26th, 2012 - about 13 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 1831176643 NPPES
North Carolina MEDICAID 8952485
North Carolina MEDICAID 897835E
North Carolina MEDICAID 89011AX
North Carolina MEDICAID 5902119

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