Organization
MECKLENBURG DERMATOLOGY ASSOC. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON M. SWARTZ PA-C (OFFICE MANAGER)
(704) 344-8846
Entity
Organization
Contact information
Practice address
309 S. SHARON AMITY, SUITE 200, CHARLOTTE, NC 28211-0000
(704) 344-8846
(704) 344-9844
Mailing address
309 S. SHARON AMITY, SUITE 200, CHARLOTTE, NC 28211-0000
(704) 344-8846
(704) 369-7999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9400642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902119
—
NC
05
—
89011AX
—
NC
05
—
8952485
—
NC
05
—
897835E
—
NC
Enumeration date
12/22/2005
Last updated
06/26/2012
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