Organization
DERMATOLOGY GROUP OF THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J ROCHE M.D. (PRESIDENT)
(704) 784-5901
Entity
Organization
Contact information
Practice address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(704) 784-5903
Mailing address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(704) 784-5903
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901005
—
NC
Enumeration date
03/28/2006
Last updated
07/29/2024
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