Organization
DERMATOLOGY SPECIALISTS OF CHARLOTTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH G NIXON M.D. (PRESIDENT)
(704) 341-0090
Entity
Organization
Contact information
Practice address
8936 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 341-0090
Mailing address
8936 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9800340
NC
Other
Enumeration date
03/15/2011
Last updated
06/01/2015
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