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Azalea Skin Treatment Center Pa
Specialist in Garner, North Carolina
NPI 1760512032

Azalea Skin Treatment Center Pa is a Specialist based in Charlotte, NC. Azalea Skin Treatment Center Pa practices in Garner, NC. The NPI Number for Azalea Skin Treatment Center Pa is 1760512032 and holds a License No. 29605 (North Carolina).

The current practice location address for Azalea Skin Treatment Center Pa is 958 Vandora Springs Rd, Garner, NC and can be reached out via phone at 919-772-3487 and via fax at 919-772-3446.

Location: 958 Vandora Springs Rd, Garner, NC, 28260-0634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760512032
Provider Name
Azalea Skin Treatment Center Pa
Credential
Provider Entity Type
Organization
Address
958 Vandora Springs Rd, Garner, NC, 28260-0634
Phone Number
919-772-3487
Fax Number
919-772-3446
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0273L 01 NC BCBS OF NC GROUP NUMBER
070014474 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
958 Vandora Springs Rd
City
Garner
State
North Carolina
Zip
27529-3544
Phone Number
919-772-3487
Fax Number
919-772-3446
person
Provider Business Mailing Address Details
Address
958 Vandora Springs Rd
City
Garner
State
North Carolina
Zip
27529-3544
Phone Number
919-772-3487
Fax Number
919-772-3446
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
29605 (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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