Organization
SANFORD DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D CHEESBOROUGH M.D. (DOCTOR)
(919) 775-7926
Entity
Organization
Contact information
Practice address
827 S HORNER BLVD, SANFORD, NC 27330-5342
(919) 775-7926
(919) 718-0092
Mailing address
827 S HORNER BLVD, SANFORD, NC 27330-5342
(919) 775-7926
(919) 718-0092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21635
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8922235
—
NC
Enumeration date
11/25/2006
Last updated
09/08/2009
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