Organization
PINEHURST SKIN SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE WILLIAMSON KING M.D. (PHYSICIAN)
(910) 295-2945
Entity
Organization
Contact information
Practice address
289 OLMSTED BLVD, SUITE 5, PINEHURST, NC 28374-8729
(910) 295-2945
(910) 295-2937
Mailing address
289 OLMSTED BLVD, SUITE 5, PINEHURST, NC 28374-8729
(910) 295-2945
(910) 295-2937
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
38791
NC
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
38791
NC
207NS0135X
Procedural Dermatology Physician
38791
NC
Other
Enumeration date
09/11/2007
Last updated
07/12/2012
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