Organization
FAMILY DERMATOLOGY OF ALBEMARLE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT DOUGLAS KRASNER M.D. (OWNER)
(434) 964-9500
Entity
Organization
Contact information
Practice address
215 WAYLES LN, SUITE 150, CHARLOTTESVILLE, VA 22911-4631
(434) 964-9500
(434) 964-9501
Mailing address
215 WAYLES LN, SUITE 150, CHARLOTTESVILLE, VA 22911-4631
(434) 964-9500
(434) 964-9501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101237413
VA
207ND0900X
Dermatopathology Physician
Primary
0101237413
VA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0101237413
VA
207NS0135X
Procedural Dermatology Physician
0101237413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178139
BLUE CROSS AND BLUE SHIEL
—
Enumeration date
02/06/2007
Last updated
09/11/2025
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