Organization
ON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC
Active
Organization
ON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D. QUEEN (MANAGER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
3737 GLENWOOD AVE STE 100, RALEIGH, NC 27612-5515
(877) 345-5300
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/17/2014
Last updated
04/04/2025
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