| NPI | 1457722043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON L SMITH Partner 252-752-4124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |