Organization
VIETA DERMATOLOGY, PLLC
Active
Organization
VIETA DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GRUMMER MD (OWNER)
(239) 595-5124
Entity
Organization
Contact information
Practice address
10 TROTTER HILLS CIR, PINEHURST, NC 28374-7930
(910) 420-1282
(910) 420-1116
Mailing address
10 TROTTER HILLS CIR, PINEHURST, NC 28374-7930
(910) 420-1282
(910) 420-1116
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2014-02302
NC
207ND0101X
MOHS-Micrographic Surgery Physician
2014-02302
NC
Other
Enumeration date
11/10/2017
Last updated
08/07/2023
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