Organization
CHARLOTTE SKIN & LASER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ROSTAN M.D. (PRESIDENT)
(704) 333-9113
Entity
Organization
Contact information
Practice address
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207-1242
(704) 333-9113
(704) 333-9757
Mailing address
130 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207-1242
(704) 333-9113
(704) 333-9757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9700237
NC
Other
Enumeration date
12/11/2006
Last updated
12/17/2014
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