Organization
SKIN WELLNESS DERMATOLOGY ASSOCIATES, PA
Active
Organization
SKIN WELLNESS DERMATOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE A JACKSON M.D. (PRESIDENT-OWNER)
(919) 294-9440
Entity
Organization
Contact information
Practice address
245 EAST NC HIGHWAY 54, STE 202, DURHAM, NC 27713-2150
(919) 294-9440
(919) 237-3899
Mailing address
245 EAST NC HWY 54, SUITE 202, DURHAM, NC 27713-2150
(919) 294-9440
(919) 237-3899
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2013-00616
NC
Other
Enumeration date
06/01/2015
Last updated
03/25/2016
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