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Organization

CLEMMONS DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH ANN GURLEY (PHYSICIAN ASSISTANT)
(336) 979-4499
Entity
Organization

Contact information

Practice address
2515 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8712
(336) 416-4093
Mailing address
2515 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8712
(336) 416-4093

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
06/21/2024
Last updated
07/24/2025
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