| NPI | 1154565596 |
|---|---|
| Doing Business As | WAKE FOREST DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA A MATHEIS Owner 919-488-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 20041014) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-10-13 |