Organization
BURLINGTON DERMATOLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ROBERT HENDERSON M.D. (DOCTOR)
(336) 226-9393
Entity
Organization
Contact information
Practice address
1522 VAUGHN RD, BURLINGTON, NC 27217-2871
(336) 226-9393
(336) 227-0496
Mailing address
1522 VAUGHN RD, BURLINGTON, NC 27217-2871
(336) 226-9393
(336) 227-0496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13641
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901143
—
NC
05
—
8941461
—
NC
Enumeration date
02/12/2007
Last updated
04/30/2010
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