Dermatologic Surgery Of The Carolinas Llc in Charlotte - Mohs-micrographic Surgery
Dermatologic Surgery Of The Carolinas Llc - NPI 1790961670
Dermatologic Surgery Of The Carolinas Llc is a Mohs-micrographic Surgery in Charlotte, North Carolina. Dermatologic Surgery Of The Carolinas Llc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Dermatologic Surgery Of The Carolinas Llc is 1790961670. The last update date is 2014-06-02.
Dermatologic Surgery Of The Carolinas Llc's current location address is 15830 Ballantyne Medical Place, Charlotte, North Carolina. You can contact this provider via phone number 7049191105 and fax number 7049103163. The mailing address for Dermatologic Surgery Of The Carolinas Llc is 15830 Ballantyne Medical Place, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatologic Surgery Of The Carolinas Llc |
|---|---|
| Address | 15830 Ballantyne Medical Place, Charlotte, North Carolina |
| Phone Number | 7049191105 |
| Fax Number | 7049103163 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lane R David |
| Credentials | MD |
| Telephone Number | 7043023707 |
NPI Number Detail
| NPI Number | 1790961670 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2014-06-02 |
Provider Mailing Address Detail
| Address | 15830 Ballantyne Medical Place |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 28277 |
| Phone Number | 7049191105 |
| Fax Number | 7049103163 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the Dermatologic Surgery Of The Carolinas Llc's 1790961670?
The Dermatologic Surgery Of The Carolinas Llc's NPI (National Provider Identifier) Number is 1790961670. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dermatologic Surgery Of The Carolinas Llc's physical address?
The Dermatologic Surgery Of The Carolinas Llc is physically located at 15830 Ballantyne Medical Place, in the city of Charlotte, NC, with the postal code 28277.
What is the Dermatologic Surgery Of The Carolinas Llc's specialty and taxonomy code?
The Dermatologic Surgery Of The Carolinas Llc's specialty is Mohs-micrographic Surgery, and the corresponding taxonomy code is 207Nd0101X.
On what date did the Dermatologic Surgery Of The Carolinas Llc receive its 1790961670 assignment from the Centers for Medicare & Medicaid Services?
The Dermatologic Surgery Of The Carolinas Llc was assigned its 1790961670 by the Centers for Medicare & Medicaid Services on 2008-01-10.
As of what date were the details pertaining to Dermatologic Surgery Of The Carolinas Llc last refreshed?
The information related to the Dermatologic Surgery Of The Carolinas Llc, including its address, specialty, and other relevant details, was last updated on 2014-06-02.