| NPI | 1497182984 |
|---|---|
| Doing Business As | NORTHEAST DERMATOLOGY - SALISBURY |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-01-05 |