Organization
TRIAD DERMATOLOGY PA
Active
Organization
TRIAD DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA C LIU MD (OWNER)
(336) 768-2180
Entity
Organization
Contact information
Practice address
725 HIGHLAND OAKS DRIVE, SUITE 106, WINSTON SALEM, NC 27103
(336) 768-2180
(336) 768-8031
Mailing address
725 HIGHLAND OAKS DRIVE, SUITE 106, WINSTON SALEM, NC 27103
(336) 768-2180
(336) 768-8031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28663
NC
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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