Organization
DILWORTH DERMATOLOGY AND LASER, PLLC
Active
Other names
Dermatologic Laser Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE HUDSON RN (OFFICE MANAGER)
(704) 376-9849
Entity
Organization
Contact information
Practice address
719 EAST BOULEVARD, CHARLOTTE, NC 28203
(704) 376-9849
(704) 333-0708
Mailing address
719 EAST BOULEVARD, CHARLOTTE, NC 28203
(704) 376-9849
(704) 333-0708
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229K
BCBS
NC
Enumeration date
12/27/2005
Last updated
04/16/2024
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