Organization
BAIN DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL EUGENE BAIN III M.D. (OWNER/PHYSICIAN)
(919) 518-0999
Entity
Organization
Contact information
Practice address
7200 CREEDMOOR RD, SUITE 104, RALEIGH, NC 27613-1710
(919) 518-0999
(919) 518-0939
Mailing address
7200 CREEDMOOR RD, SUITE 104, RALEIGH, NC 27613-1710
(919) 518-0999
(919) 518-0939
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2013-02484
NC
Other
Enumeration date
05/14/2014
Last updated
09/19/2014
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