Organization
DERMATOLOGY ASSOCIATES OF CHARLOTTE
Active
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
Update your record
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