Organization
MIDTOWN DERMATOLOGY, PC
Active
Organization
MIDTOWN DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH ANNE SCHULZ-BUTULIS DO (PRESIDENT)
(984) 242-0510
Entity
Organization
Contact information
Practice address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Mailing address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
203528
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D895
MEDICARE PTAN
—
01
—
DV9975
RAILROAD MEDICARE PTAN
—
Enumeration date
07/09/2014
Last updated
11/16/2022
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