Organization
DERMATOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY R. EDWARDS MD (OWNER)
(910) 763-1556
Entity
Organization
Contact information
Practice address
6781 PARKER FARM DR, SUITE 300, WILMINGTON, NC 28405-3161
(910) 763-1556
(910) 762-4726
Mailing address
6781 PARKER FARM DR, SUITE 300, WILMINGTON, NC 28405-3161
(910) 763-1556
(910) 762-4726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
40439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790206E
—
NC
Enumeration date
09/15/2005
Last updated
06/07/2013
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