| NPI | 1326101262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WELLINGTON SCALES Physician 919-484-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 9400629) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-07-08 |