Organization
BEACON DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAINS MD (OWNER)
(415) 802-1310
Entity
Organization
Contact information
Practice address
76 PEACHTREE RD STE 120, ASHEVILLE, NC 28803-5041
(828) 412-0688
(828) 222-6042
Mailing address
PO BOX 63249, CHARLOTTE, NC 28263-3249
(828) 412-0688
(828) 372-4535
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
12/06/2023
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