Southeastern Dermatological Clinic, Pa in Lumberton - Dermatology
Southeastern Dermatological Clinic, Pa - NPI 1922043629
Southeastern Dermatological Clinic, Pa is a Dermatology in Lumberton, North Carolina. Southeastern Dermatological Clinic, Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Southeastern Dermatological Clinic, Pa is 1922043629. The last update date is 2020-08-22.
Southeastern Dermatological Clinic, Pa's current location address is 4390 Fayetteville Rd, Lumberton, North Carolina. You can contact this provider via phone number 9107387154 and fax number 9107384455. The mailing address for Southeastern Dermatological Clinic, Pa is 4390 Fayetteville Rd, Lumberton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Dermatological Clinic, Pa |
|---|---|
| Address | 4390 Fayetteville Rd, Lumberton, North Carolina |
| Phone Number | 9107387154 |
| Fax Number | 9107384455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Hendricks Adam Andrew |
| Credentials | MD |
| Telephone Number | 9107387154 |
NPI Number Detail
| NPI Number | 1922043629 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4390 Fayetteville Rd |
|---|---|
| City | Lumberton |
| State | North Carolina (NC) |
| Post Code | 283582677 |
| Phone Number | 9107387154 |
| Fax Number | 9107384455 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8941520 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southeastern Dermatological Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Southeastern Dermatological Clinic, Pa has been issued the NPI (National Provider Identifier) 1922043629, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southeastern Dermatological Clinic, Pa?
The Southeastern Dermatological Clinic, Pa is situated at 4390 Fayetteville Rd, in the city of Lumberton, state of NC, with the zip code 283582677.
What is Southeastern Dermatological Clinic, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southeastern Dermatological Clinic, Pa is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date was the 1922043629 assigned to Southeastern Dermatological Clinic, Pa?
The Southeastern Dermatological Clinic, Pa was issued its 1922043629 on 2006-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Southeastern Dermatological Clinic, Pa's information last updated?
The Southeastern Dermatological Clinic, Pa's information was last updated on 2020-08-22.