Organization
ATLANTIC DERMATOLOGY, PA
Active
Organization
ATLANTIC DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN STUART CRANE DO (PRESIDENT/ONWER)
(910) 251-9944
Entity
Organization
Contact information
Practice address
1099 MEDICAL CENTER DR, WILMINGTON, NC 28401-7346
(910) 251-9944
(910) 763-4666
Mailing address
1099 MEDICAL CENTER DR, WILMINGTON, NC 28401-7346
(910) 251-9944
(910) 763-4666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871043109
NPI
—
Enumeration date
10/11/2016
Last updated
03/31/2021
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