Southern Dermatology, P.A.

LBN: Southern Dermatology, P.A.
Southern Dermatology, P.A. is an health care organization with primary practice located at 4201 Lake Boone Trl Suite 200, Raleigh NC 27607-7511. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Dermatology, P.A. can be contacted via phone (919) 782-2152, or through Peterman, Angela Ruth via phone (443) 351-3376.

Contact Information

Primary practice address
4201 Lake Boone Trl Suite 200 Raleigh NC 27607-7511
Phone: (919) 782-2152
Fax: (919) 782-7929
Website:
Map and Directions
Authorized official contact:
Name: Peterman, Angela Ruth
Phone: (443) 351-3376

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9900389 North Carolina

Profile Details

NPI number 1568415586
LBN Legal business name Southern Dermatology, P.A.
DBA Doing business as
Authorized official Peterman, Angela Ruth
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Feb 14th, 2025 - about last year

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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