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Mountainview Skin Care Pc
Medical Specialty Clinic/Center in Winston Salem, North Carolina
NPI 1649492232

Mountainview Skin Care Pc is a Medical Specialty Clinic/Center based in Winston Salem, NC and is specialized in Medical Specialty. Mountainview Skin Care Pc practices in Winston Salem, NC. The NPI Number for Mountainview Skin Care Pc is 1649492232 and holds a License No. 126743 (North Carolina).

The current practice location address for Mountainview Skin Care Pc is 4680 Brownsboro Rd B, Winston Salem, NC and can be reached out via phone at 336-893-8423 and via fax at 336-893-8426.

Location: 4680 Brownsboro Rd B, Winston Salem, NC, 27101-3755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649492232
Provider Name
Mountainview Skin Care Pc
Credential
Provider Entity Type
Organization
Address
4680 Brownsboro Rd B, Winston Salem, NC, 27101-3755
Phone Number
336-893-8423
Fax Number
336-893-8426
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8989261 05 NC
89261 01 BCBS NC
2346511 01 NC MEDICARE PTAN
DF5077 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4680 Brownsboro Rd B
City
Winston Salem
State
North Carolina
Zip
27106-3428
Phone Number
336-893-8423
Fax Number
336-893-8426
person
Provider Business Mailing Address Details
Address
4680 Brownsboro Rd B
City
Winston Salem
State
North Carolina
Zip
27106-3428
Phone Number
336-893-8423
Fax Number
336-893-8426
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
126743 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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