| NPI | 1538359708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J SHEREFF Secretary Treasurer 910-323-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 22276) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NC 22276) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-01-21 |