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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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