Organization
BECKLEY DERMATOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON E. VELAZQUEZ DO (SOLE OWNER)
(304) 252-2673
Entity
Organization
Contact information
Practice address
150 E 2ND AVE, WILLIAMSON, WV 25661-3602
(304) 235-5780
(304) 235-5799
Mailing address
136 LINDEN DR STE 104, WINCHESTER, VA 22601-6900
(406) 783-5885
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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