Esthetics Center For Dermatology Pa

LBN: Esthetics Center For Dermatology Pa
Esthetics Center For Dermatology Pa is an health care organization with primary practice located at 353 Clement Ave , Charlotte NC 28204-2431. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Esthetics Center For Dermatology Pa can be contacted via phone (704) 370-2700, or through Fuller, Peggy A. via phone (704) 370-2700.

Contact Information

Primary practice address
353 Clement Ave Charlotte NC 28204-2431
Phone: (704) 370-2700
Fax: (704) 370-2702
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Peggy A. Doctor of Medicine (MD)
Phone: (704) 370-2700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 127728 North Carolina

Profile Details

NPI number 1891879615
LBN Legal business name Esthetics Center For Dermatology Pa
DBA Doing business as
Authorized official Fuller, Peggy A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 6 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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