Organization
CHARLOTTE DERMATOLOGY PA
Active
Organization
CHARLOTTE DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SLAUGHTER MD (PARTNER)
(704) 927-6160
Entity
Organization
Contact information
Practice address
2630 E 7TH ST, 200, CHARLOTTE, NC 28204-4318
(704) 927-6166
(704) 364-4845
Mailing address
PO BOX 60800, CHARLOTTE, NC 28260-0800
(704) 927-6166
(704) 364-4845
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0467
MEDICARE GROUP
NC
Enumeration date
06/17/2006
Last updated
03/06/2008
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