| NPI | 1184754848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL H SUGARMAN President 704-658-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 200500264) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: 200500264) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-05-25 |