Organization
PIEDMONT PLASTIC SURGERY AND DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE PEARSON MD (OWNER)
(704) 484-0464
Entity
Organization
Contact information
Practice address
700 N LAFAYETTE ST, SHELBY, NC 28150-3829
(704) 484-0464
Mailing address
959 COX RD, GASTONIA, NC 28054-3420
(704) 866-7576
(704) 866-0106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138T
BCBS
NC
05
—
8966460
—
NC
Enumeration date
08/29/2006
Last updated
03/09/2012
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