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Individual

DR. EARL EUGENE BAIN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7200 CREEDMOOR RD, SUITE 104, RALEIGH, NC 27613-1710
(919) 518-0999
(919) 518-0939
Mailing address
7200 CREEDMOOR RD, SUITE 104, RALEIGH, NC 27613-1710
(919) 518-0999
(919) 518-0939

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
32218
AL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2013-02484
NC
207ND0101X
MOHS-Micrographic Surgery Physician
258454-1
NY

Other

Enumeration date
05/18/2009
Last updated
09/19/2014
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