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Organization

GRAHAM'S DERMATOLOGY SERVICES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN SHACKELFORD GRIFFIN (INSURANCE REPRESENTIVE)
(252) 672-7729
Entity
Organization

Contact information

Practice address
106 CYPRESS DR, PINE KNOLL SHORES, NC 28512-6706
(252) 247-6621
(252) 247-6621
Mailing address
106 CYPRESS DR, PINE KNOLL SHORES, NC 28512-6706
(252) 247-6621
(252) 247-6621

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38343
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5900379
NC
Enumeration date
12/16/2005
Last updated
08/22/2020
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