| NPI | 1588538607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LONERGAN CEO 704-968-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |