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Organization

GREENSBORO DERMATOLOGY ASSOC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAN BRIAN JONES M.D. (PRESIDENT)
(336) 954-7546
Entity
Organization

Contact information

Practice address
2704 SAINT JUDE ST, GREENSBORO, NC 27405-3670
(336) 954-7546
(336) 235-4018
Mailing address
PO BOX 14962, GREENSBORO, NC 27415-4962
(336) 954-7546
(336) 235-4018

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0171Y
BCBS PROVIDER #
NC
05
890171Y
NC
Enumeration date
04/06/2006
Last updated
01/03/2014
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