Goldsboro Skin Center Pa in Goldsboro - Procedural Dermatology
Goldsboro Skin Center Pa - NPI 1972567634
Goldsboro Skin Center Pa is a Procedural Dermatology in Goldsboro, North Carolina. Goldsboro Skin Center Pa practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Goldsboro Skin Center Pa is 1972567634. The last update date is 2020-08-22.
Goldsboro Skin Center Pa's current location address is 2613 Hospital Rd, Goldsboro, North Carolina. You can contact this provider via phone number 9197360222 and fax number 9197360223. The mailing address for Goldsboro Skin Center Pa is 2613 Hospital Rd, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goldsboro Skin Center Pa |
|---|---|
| Address | 2613 Hospital Rd, Goldsboro, North Carolina |
| Phone Number | 9197360222 |
| Fax Number | 9197360223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jennings L John |
| Credentials | MD |
| Telephone Number | 9197360222 |
NPI Number Detail
| NPI Number | 1972567634 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2613 Hospital Rd |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275349424 |
| Phone Number | 9197360222 |
| Fax Number | 9197360223 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 27212 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89012KT | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Goldsboro Skin Center Pa by the Centers for Medicare & Medicaid Services?
The Goldsboro Skin Center Pa has been issued the NPI (National Provider Identifier) 1972567634. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Goldsboro Skin Center Pa is geographically located?
The Goldsboro Skin Center Pa is physically situated at the following location: 2613 Hospital Rd, Goldsboro, NC, 275349424.
What is Goldsboro Skin Center Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Goldsboro Skin Center Pa's specialized field of practice is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ns0135X.
On what date did the Goldsboro Skin Center Pa receive the assignment of its 1972567634 from the Centers for Medicare & Medicaid Services?
The Goldsboro Skin Center Pa was issued its 1972567634 by the Centers for Medicare & Medicaid Services on 2006-04-12.
When was the information pertaining to Goldsboro Skin Center Pa most recently updated or revised?
The details related to Goldsboro Skin Center Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.