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Mecklenburg Dermatology Assoc. Pa
Specialist in Charlotte, North Carolina
NPI 1831176643

Mecklenburg Dermatology Assoc. Pa is a Specialist based in Charlotte, NC. Mecklenburg Dermatology Assoc. Pa practices in Charlotte, NC. The NPI Number for Mecklenburg Dermatology Assoc. Pa is 1831176643 and holds a License No. 9400642 (North Carolina).

The current practice location address for Mecklenburg Dermatology Assoc. Pa is 309 S. Sharon Amity, Charlotte, NC and can be reached out via phone at 704-344-8846 and via fax at 704-344-9844.

Location: 309 S. Sharon Amity, Charlotte, NC, 28211-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831176643
Provider Name
Mecklenburg Dermatology Assoc. Pa
Credential
Provider Entity Type
Organization
Address
309 S. Sharon Amity, Charlotte, NC, 28211-0000
Phone Number
704-344-8846
Fax Number
704-344-9844
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8952485 05 NC
897835E 05 NC
89011AX 05 NC
5902119 05 NC
institution
Provider Business Practice Location Address Details
Address
309 S. Sharon Amity
City
Charlotte
State
North Carolina
Zip
28211-0000
Phone Number
704-344-8846
Fax Number
704-344-9844
person
Provider Business Mailing Address Details
Address
309 S. Sharon Amity
City
Charlotte
State
North Carolina
Zip
28211-0000
Phone Number
704-344-8846
Fax Number
704-344-9844
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
9400642 (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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