Organization
CAPITAL DERMATOLOGY OF NC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R STEELE (PRACTICE MANAGER)
(919) 809-9001
Entity
Organization
Contact information
Practice address
7209 CREEDMOOR RD STE 105, RALEIGH, NC 27613-1695
(919) 307-9461
Mailing address
7209 CREEDMOOR RD STE 105, RALEIGH, NC 27613-1695
(919) 307-9461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
65395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9501628
NC MEDICAL LICENSE
NC
Enumeration date
09/23/2017
Last updated
07/21/2022
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