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1790961670
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
CHARLOTTE, NC
NPI
1790961670
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Entity Type
Organization
Authorized Contact
DAVID R LANE
Owner
704-302-3707
Organization Subpart ?
No
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
Enumeration Date
2008-01-10
Last Update Date
2014-06-02
Business Address
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
15830 BALLANTYNE MEDICAL PLACE SUITE 225
CHARLOTTE, NC 28277
Phone number: 704-919-1105
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Mailing Address
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
15830 BALLANTYNE MEDICAL PLACE SUITE 225
CHARLOTTE, NC 28277
Phone number: 704-919-1105
Copy
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