Dermatology Center Of Hickory, Pa

LBN: Dermatology Center Of Hickory, Pa
Dermatology Center Of Hickory, Pa is an health care organization with primary practice located at 245 11Th Ave Ne , Hickory NC 28601-3885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Center Of Hickory, Pa can be contacted via phone (828) 328-3500, or through Pruitt, Jerry Lee via phone (828) 328-3500.

Contact Information

Primary practice address
245 11Th Ave Ne Hickory NC 28601-3885
Fax: (828) 328-8777
Website:
Authorized official contact:
Name: Pruitt, Jerry Lee Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1518278902
LBN Legal business name Dermatology Center Of Hickory, Pa
DBA Doing business as
Authorized official Pruitt, Jerry Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2010
Last updated Jul 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518278902 NPPES
North Carolina Other 69390 BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
North Carolina Other 070015170 BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

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