Davie Dermatology, P.A. in Advance - Specialist
Davie Dermatology, P.A. - NPI 1922060649
Davie Dermatology, P.A. is a Specialist in Advance, North Carolina. Davie Dermatology, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Davie Dermatology, P.A. is 1922060649. The last update date is 2023-01-16.
Davie Dermatology, P.A.'s current location address is 108 Dornach Way, Advance, North Carolina. You can contact this provider via phone number 3369402407 and fax number 3369402409. The mailing address for Davie Dermatology, P.A. is 108 Dornach Way, Advance, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Davie Dermatology, P.A. |
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Address | 108 Dornach Way, Advance, North Carolina |
Phone Number | 3369402407 |
Fax Number | 3369402409 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | AUTHORIZED |
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Authorized Official Name | Bryson C Tracie |
Credentials | MD |
Telephone Number | 3369402407 |
NPI Number Detail
NPI Number | 1922060649 |
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Provider Enumeration Date | 2006-04-06 |
Last Updated Date | 2023-01-16 |
Provider Mailing Address Detail
Address | 108 Dornach Way |
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City | Advance |
State | North Carolina (NC) |
Post Code | 270067305 |
Phone Number | 3369402407 |
Fax Number | 3369402409 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
890108V | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Davie Dermatology, P.A. by the Centers for Medicare & Medicaid Services?
The Davie Dermatology, P.A. has been issued the NPI (National Provider Identifier) 1922060649. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Davie Dermatology, P.A. is located?
The Davie Dermatology, P.A. is situated at the following address: 108 Dornach Way, Advance, NC, 270067305.
What is Davie Dermatology, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Davie Dermatology, P.A.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did Davie Dermatology, P.A. receive its 1922060649 assignment from the Centers for Medicare & Medicaid Services?
The Davie Dermatology, P.A. was assigned its 1922060649 on 2006-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Davie Dermatology, P.A. most recently updated or refreshed?
The details pertaining to the Davie Dermatology, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-16.