Organization
MOSES CONE AFFILIATED PHYSICIANS, INC.
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
Carolina Dermatology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
MR. KENNETH KNIGHT BOGGS (CFO/TREASURER)
(336) 832-8005
Entity
Organization
Contact information
Practice address
1900 ASHWOOD CT, GREENSBORO, NC 27455-3005
(336) 282-1414
(336) 282-1515
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(828) 891-5524
(828) 891-4069
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916856
—
NC
Enumeration date
02/25/2011
Last updated
11/29/2012
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