Organization
ADVANCED DERMATOLOGY CENTER, PA
Active
Organization
ADVANCED DERMATOLOGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY D HOFFMAN M.D (OWNER)
(704) 895-6775
Entity
Organization
Contact information
Practice address
9604 HOLLY POINT DR, HUNTERSVILLE, NC 28078-4913
(704) 895-6775
(704) 895-6765
Mailing address
9604 HOLLY POINT DR, HUNTERSVILLE, NC 28078-4913
(704) 895-6775
(704) 895-6765
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200000825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015UG
BCBS
NC
Enumeration date
10/04/2005
Last updated
05/20/2008
Update your record
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