Organization
CAROLINA DERMATOLOGY AND SKIN CANCER SURGERY PA
Active
Organization
CAROLINA DERMATOLOGY AND SKIN CANCER SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLIE F COSGROVE (MANAGING PARTNER)
(910) 254-3544
Entity
Organization
Contact information
Practice address
1814 GLEN MEADE RD, WILMINGTON, NC 28403-6023
(910) 254-3544
(910) 254-3543
Mailing address
PO BOX 15430, WILMINGTON, NC 28408-5430
(910) 793-9545
(910) 397-0366
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015VK
—
NC
Enumeration date
04/23/2007
Last updated
10/29/2014
Update your record
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