| NPI | 1790082873 |
|---|---|
| Doing Business As | CAROLINA DERMATOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH KNIGHT BOGGS CFO/Treasurer 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2012-11-29 |