Organization
EASTERN DERMATOLOGY & PATHOLOGY
Active
Organization
EASTERN DERMATOLOGY & PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON L SMITH MD (PRESIDENT)
(252) 752-4124
Entity
Organization
Contact information
Practice address
800 N MCPHERSON XING, ELIZABETH CITY, NC 27909-9673
(252) 331-1780
(252) 331-2876
Mailing address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 758-8954
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01498
BCBS NC
NC
05
—
5902503
—
NC
Enumeration date
11/21/2006
Last updated
06/28/2012
Update your record
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