Raleigh Skin Surgery Center

LBN: Raleigh Skin Surgery Center
Raleigh Skin Surgery Center is an health care organization with primary practice located at 3811 Ed Dr. 110, Raleigh NC 27612-8106. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Raleigh Skin Surgery Center can be contacted via phone (919) 390-0200, or through Housman, Tamara S via phone (919) 390-0210.

Contact Information

Primary practice address
3811 Ed Dr. 110 Raleigh NC 27612-8106
Phone: (919) 390-0200
Fax: (919) 390-0219
Website:
Map and Directions
Authorized official contact:
Name: Housman, Tamara S Doctor of Medicine (MD)
Phone: (919) 390-0210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 200001428 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1881864411
LBN Legal business name Raleigh Skin Surgery Center
DBA Doing business as
Authorized official Housman, Tamara S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Oct 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881864411 NPPES
Other 2021987A MEDICARE PTAN

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