Organization
CAROLINA MOUNTAIN DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID COGBURN MD (PRESIDENT)
(828) 684-0703
Entity
Organization
Contact information
Practice address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344
Mailing address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
40729
NC
Other
Enumeration date
04/19/2006
Last updated
08/22/2020
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