Organization
NORTH CAROLINA CENTER FOR DERMATOLOGY PA
Active
Organization
NORTH CAROLINA CENTER FOR DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WELLINGTON SCALES M.D. (PHYSICIAN)
(919) 484-9551
Entity
Organization
Contact information
Practice address
6216 FAYETTEVILLE RD, SUITE 102, DURHAM, NC 27713-6287
(919) 484-9551
(919) 484-0667
Mailing address
6216 FAYETTEVILLE RD, SUITE 102, DURHAM, NC 27713-6287
(919) 484-9551
(919) 484-0667
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9400629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012N1
BLUE CROSS BLUE SHIELD
NC
05
—
5905605
—
NC
Enumeration date
12/19/2006
Last updated
07/08/2014
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