Organization
GOLDSBORO SKIN CENTER PA
Active
Organization
GOLDSBORO SKIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L JENNINGS JR. MD (PRESIDENT)
(919) 736-0222
Entity
Organization
Contact information
Practice address
2613 HOSPITAL RD, GOLDSBORO, NC 27534-9424
(919) 736-0222
(919) 736-0223
Mailing address
2613 HOSPITAL RD, GOLDSBORO, NC 27534-9424
(919) 736-0222
(919) 736-0223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27212
NC
207ND0900X
Dermatopathology Physician
27212
NC
207NS0135X
Procedural Dermatology Physician
27212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012KT
—
NC
Enumeration date
04/12/2006
Last updated
09/11/2025
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