Organization
DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
Active
Organization
DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIRISH S MUNAVALLI M.D (MEDICAL DIRECTOR)
(704) 375-6766
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
(704) 375-6766
Mailing address
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
(704) 375-6766
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
10/05/2006
Last updated
12/26/2007
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