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Dr. Jennifer Marie Defazio, MD
Procedural Dermatology Physician in Greenville, North Carolina
NPI 1508988742

Jennifer Marie Defazio is a Procedural Dermatology Physician based in Charlotte, NC and is specialized in Procedural Dermatology. Jennifer Marie Defazio practices in Greenville, NC and has the professional credentials of MD. The NPI Number for Jennifer Marie Defazio is 1508988742 and holds a License No. 2009-01325 (North Carolina).

The current practice location address for Jennifer Marie Defazio is 517 Moye Blvd, Greenville, NC and can be reached out via phone at 252-744-3109 and via fax at 252-744-2096. You can also correspond with Jennifer Marie Defazio through the mailing address at PO BOX 751069, CHARLOTTE, NC - 28275-1069 (mailing address contact number: ).

Location: 517 Moye Blvd, Greenville, NC, 28275-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508988742
Provider Name
Jennifer Marie Defazio
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
517 Moye Blvd, Greenville, NC, 28275-1069
Phone Number
252-744-3109
Fax Number
252-744-2096
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
153RU 01 NC BCBSNC
5912475 05 NC
institution
Provider Business Practice Location Address Details
Address
517 Moye Blvd
City
Greenville
State
North Carolina
Zip
27834-2849
Phone Number
252-744-3109
Fax Number
252-744-2096
person
Provider Business Mailing Address Details
Address
517 Moye Blvd
City
Greenville
State
North Carolina
Zip
27834-2849
Phone Number
252-744-3109
Fax Number
252-744-2096
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
2009-01325 (North Carolina)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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