Ravenhill Dermatology Medical Clinic, P.C.

LBN: Ravenhill Dermatology Medical Clinic, P.C.
Ravenhill Dermatology Medical Clinic, P.C. is an health care organization with primary practice located at 110 Barcelona Dr , Fayetteville NC 28303-4453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Ravenhill Dermatology Medical Clinic, P.C. can be contacted via phone (910) 485-4101, or through Reinelt, Debbie via phone (828) 891-5524.

Contact Information

Primary practice address
110 Barcelona Dr Fayetteville NC 28303-4453
Phone: (910) 485-4101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reinelt, Debbie
Phone: (828) 891-5524

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1962519462
LBN Legal business name Ravenhill Dermatology Medical Clinic, P.C.
DBA Doing business as
Authorized official Reinelt, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Jun 16th, 2008 - about 16 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 1962519462 NPPES
Other 83124 BLUE CROSS BLUE SHIELD
MEDICAID 8983124 BLUE CROSS BLUE SHIELD

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