institution
Southern Dermatology, P.a.
Specialist in Raleigh, North Carolina
NPI 1568415586

Southern Dermatology, P.a. is a Specialist based in Linthicum Heights, NC. Southern Dermatology, P.a. practices in Raleigh, NC. The NPI Number for Southern Dermatology, P.a. is 1568415586 and holds a License No. 9900389 (North Carolina).

The current practice location address for Southern Dermatology, P.a. is 4201 Lake Boone Trl, Raleigh, NC and can be reached out via phone at 919-782-2152 and via fax at 919-782-7929.

Location: 4201 Lake Boone Trl, Raleigh, NC, 21090-1033
institution
Provider Profile Details
NPI Number
1568415586
Provider Name
Southern Dermatology, P.a.
Credential
Provider Entity Type
Organization
Address
4201 Lake Boone Trl, Raleigh, NC, 21090-1033
Phone Number
919-782-2152
Fax Number
919-782-7929
Provider Enumeration Date
05/19/2006
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
4201 Lake Boone Trl
City
State
Zip
27607-7511
Phone Number
919-782-2152
Fax Number
919-782-7929
person
Provider Business Mailing Address Details
Address
4201 Lake Boone Trl
City
State
Zip
27607-7511
Phone Number
919-782-2152
Fax Number
919-782-7929
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
9900389 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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