Graham'S Dermatology Services, Pa in Pine Knoll Shores - Specialist

Graham'S Dermatology Services, Pa - NPI 1275519761

Graham'S Dermatology Services, Pa is a Specialist in Pine Knoll Shores, North Carolina. Graham'S Dermatology Services, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Graham'S Dermatology Services, Pa is 1275519761. The last update date is 2020-08-22.

Graham'S Dermatology Services, Pa's current location address is 106 Cypress Dr, Pine Knoll Shores, North Carolina. You can contact this provider via phone number 2522476621 and fax number 2522476621. The mailing address for Graham'S Dermatology Services, Pa is 106 Cypress Dr, Pine Knoll Shores, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Graham'S Dermatology Services, Pa
Address 106 Cypress Dr, Pine Knoll Shores, North Carolina
Phone Number 2522476621
Fax Number 2522476621
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INSURANCE
Authorized Official Name Griffin Shackelfor Robin
Telephone Number 2526727729

NPI Number Detail

NPI Number 1275519761
Provider Enumeration Date 2005-12-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 106 Cypress Dr
City Pine Knoll Shores
State North Carolina (NC)
Post Code 285126706
Phone Number 2522476621
Fax Number 2522476621

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 38343
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
5900379 NC --

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FAQs about Graham'S Dermatology Services, Pa

What is the unique 10-digit identification code assigned to Graham'S Dermatology Services, Pa by the Centers for Medicare & Medicaid Services?

The Graham'S Dermatology Services, Pa has been issued the NPI (National Provider Identifier) 1275519761, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Graham'S Dermatology Services, Pa located?

The Graham'S Dermatology Services, Pa is located at 106 Cypress Dr, Pine Knoll Shores, NC 285126706.

What is Graham'S Dermatology Services, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Graham'S Dermatology Services, Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did the Graham'S Dermatology Services, Pa receive its 1275519761?

The Graham'S Dermatology Services, Pa was issued its 1275519761 on 2005-12-16, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Graham'S Dermatology Services, Pa most recently updated or revised?

The information pertaining to Graham'S Dermatology Services, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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