Organization
LASER SKIN CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HUBERT HUTCHINS M.D. (OWNER)
(704) 867-7212
Entity
Organization
Contact information
Practice address
750 COX RD, GASTONIA, NC 28054-3481
(704) 867-7212
(704) 867-7655
Mailing address
750 COX RD, GASTONIA, NC 28054-3481
(704) 867-7212
(704) 867-7655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01616
BLUE CROSS PROVIDER #
NC
05
—
8945146
—
NC
Enumeration date
04/28/2006
Last updated
05/13/2009
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