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Organization

DERMATOLOGY ASSOCIATES OF CHARLOTTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIM A. ROGERS M.D. (MANAGING PARTNER/DERMATOLOGIST)
(704) 321-1595
Entity
Organization

Contact information

Practice address
101 E MATTHEWS ST, SUITE 600, MATTHEWS, NC 28105-4866
(704) 321-1595
(704) 321-2634
Mailing address
101 E MATTHEWS ST, SUITE 600, MATTHEWS, NC 28105-4866
(704) 321-1595
(704) 321-2634

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02763
BCBS OF NC GROUP NUMBER
NC
Enumeration date
01/25/2006
Last updated
12/05/2007
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