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Organization

RAVENHILL DERMATOLOGY MEDICAL CLINIC, P.C.

Active
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Organization

RAVENHILL DERMATOLOGY MEDICAL CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE REINELT (BILLING)
(828) 891-5524
Entity
Organization

Contact information

Practice address
110 BARCELONA DR, FAYETTEVILLE, NC 28303-4453
(910) 485-4101
Mailing address
110 BARCELONA DR, FAYETTEVILLE, NC 28303-4453

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83124
BLUE CROSS BLUE SHIELD
05
8983124
NC
Enumeration date
08/23/2006
Last updated
06/16/2008
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