Organization
CARY DERMATOLOGY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B JOHNSON M.D. (OWNER)
(919) 467-8556
Entity
Organization
Contact information
Practice address
101 SW CARY PKWY, SUITE 210, CARY, NC 27511-5562
(919) 467-8556
Mailing address
101 SW CARY PKWY, SUITE 210, CARY, NC 27511-5562
(919) 467-8556
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153N
BLUE CROSS AND BLUE SHIEL
NC
Enumeration date
08/09/2005
Last updated
03/23/2009
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