Organization
CAROLINA DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE REINELT (BILLING)
(828) 891-5524
Entity
Organization
Contact information
Practice address
1900 ASHWOOD CT, GREENSBORO, NC 27455-3005
(336) 282-1414
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01423
BCBS
NC
05
—
890117W
—
NC
01
—
C14128
RAILROAD MCR
NC
Enumeration date
08/29/2006
Last updated
02/19/2008
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