Organization
SICI MOHS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE E CABELL MD (AUTHORIZED OFFICIAL)
(704) 590-0295
Entity
Organization
Contact information
Practice address
6 BROOKHILL SQ S, SUGARLOAF, PA 18249-1010
(704) 590-0295
(570) 454-5757
Mailing address
6 BROOKHILL SQ S, SUGARLOAF, PA 18249-1010
(570) 991-8292
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
12/19/2023
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