Foothills Family Dermatology

LBN: Foothills Family Dermatology
Foothills Family Dermatology is an health care organization with primary practice located at 109 E Fleming Dr Ste 106 , Morganton NC 28655-3799. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Foothills Family Dermatology can be contacted via phone (828) 475-2646, or through Edhegard, Kim D via phone (828) 475-2646.

Contact Information

Primary practice address
109 E Fleming Dr Ste 106 Morganton NC 28655-3799
Phone: (828) 475-2646
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edhegard, Kim D Doctor of Medicine (MD)
Phone: (828) 475-2646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1043811128
LBN Legal business name Foothills Family Dermatology
DBA Doing business as
Authorized official Edhegard, Kim D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2020
Last updated Apr 12th, 2021 - about 5 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 1043811128 NPPES
North Carolina MEDICAID 1487855680
North Carolina MEDICAID 1164657391

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