Southeast Vulvar Clinic
LBN: Mid-Charlotte Dermatology And Research Pllc
Southeast Vulvar Clinic is an health care organization with primary practice located at 6406 Carmel Rd Ste 309 , Charlotte NC 28226-8267. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Mid-Charlotte Dermatology And Research Pllc can be contacted via phone (704) 367-9777, or through Edwards, Irene Elizabeth via phone (704) 367-9777.
Contact Information
Primary practice address
6406 Carmel Rd Ste 309
Charlotte NC 28226-8267
Phone: (704) 367-9777
Fax: (704) 367-0504
Website:
Authorized official contact:
Name: Edwards, Irene Elizabeth Doctor of Medicine (MD)
Phone: (704) 367-9777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 23521 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23521 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23521 | North Carolina |
Profile Details
| NPI number | 1497940944 |
|---|---|
| LBN Legal business name | Mid-Charlotte Dermatology And Research Pllc |
| DBA Doing business as | Southeast Vulvar Clinic |
| Authorized official | Edwards, Irene Elizabeth Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Mar 1st, 2022 - about 2 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 | 1497940944 | NPPES |
| North Carolina | MEDICAID | 5922883 |
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