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Organization

RUTHERFORD DERMATOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA CAROL SELSOR M.D. (OWNER)
(828) 288-1204
Entity
Organization

Contact information

Practice address
651 WITHROW RD, FOREST CITY, NC 28043-9695
(828) 288-1204
(828) 288-1205
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(828) 233-1354
(828) 233-1354

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89011RP
NC
Enumeration date
10/06/2006
Last updated
11/02/2010
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