Organization
EASTERM DERMATOLOGY, PA
Active
Organization
EASTERM DERMATOLOGY, PA
Active
Parent organization
EASTERN DERMATOLOGY, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN DERMATOLOGY, PA
Authorized official
DR. CAMERON L SMITH MD (PARTNER)
(252) 752-4124
Entity
Organization
Contact information
Practice address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 758-8954
Mailing address
1165 CEDAR POINT BLVD, SUIE F, CEDAR POINT, NC 28584-8023
(252) 764-2986
(252) 758-8954
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
NC
207ND0101X
MOHS-Micrographic Surgery Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01498
BCBS
NC
05
—
8901498
—
NC
Enumeration date
10/08/2015
Last updated
10/08/2015
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