Organization
ANDRUS & ASSOCIATES DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ROSS ANDRUS JR. M.D. (PRESIDENT)
(919) 782-3782
Entity
Organization
Contact information
Practice address
3809 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6518
(919) 782-3782
(919) 782-3788
Mailing address
3809 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6518
(919) 782-3782
(919) 782-3788
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
75355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186J
NC BLUECROSS BLUESHIELD
NC
01
—
152279
MEDCOST
NC
05
—
890186J
—
NC
Enumeration date
05/10/2006
Last updated
07/12/2007
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