| NPI | 1235324344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE WILLIAMSON KING Physician 910-295-2945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NC 38791) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 38791) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NC 38791) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-07-12 |