# MOUNTAINVIEW SKIN CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649492232
- **Authorized official:** DR. PAUL WORTMAN M.D. (PRESIDENT, OWNER)
- **Authorized official phone:** (336) 893-8423

## Contact information

- **Practice address:** 4680 BROWNSBORO RD B, WINSTON SALEM, NC 27106-3428
- **Practice address phone:** (336) 893-8423
- **Practice address fax:** (336) 893-8426
- **Mailing address:** 127 S POPLAR ST, WINSTON SALEM, NC 27101-3755
- **Mailing address phone:** (336) 893-8423
- **Mailing address fax:** (336) 893-8426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 126743 | NC | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 11/27/2017