| NPI | 1881864411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA S HOUSMAN Medical Director 919-390-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 200001428) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2020-10-19 |