Organization
EASTERN DERMATOLOGY & PATHOLOGY, PA
Active
Parent organization
EASTERN DERMATOLOGY & PATHOLOGY, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN DERMATOLOGY & PATHOLOGY, PA
Authorized official
DR. CAMERON LANGLEY SMITH MD (PRESIDENT)
(252) 752-4124
Entity
Organization
Contact information
Practice address
1314 HIGHLAND DR, WASHINGTON, NC 27889-3424
(252) 752-4124
(252) 752-6106
Mailing address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 752-6106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01498
BCBSNC
NC
01
—
230298
MEDICARE
NC
05
—
8901498
—
NC
Enumeration date
01/18/2010
Last updated
08/22/2011
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