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CARY SKIN CENTER PA NPI 1902869530


NPI Information

NPI: 1902869530
Provider Name: CARY SKIN CENTER, PA
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 34D1074714

Address:
200 WELLESLEY TRADE LN
CARY, NC
ZIP 27519
Phone: (919) 363-7546
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CARY SKIN CENTER, PA is a mohs-micrographic surgery dermatology in Cary, NC. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. CARY SKIN CENTER, PA NPI is 1902869530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 WELLESLEY TRADE LN
CARY, NC
ZIP 27519-576
Phone: (919) 363-7546
Fax: (919) 363-3616

The provider's authorized official is Robert E Clark .
The authorized official title is President and has the following contact phone number (919) 363-7546.

The CLIA number assigned to this NPI record is 34D1074714 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 4/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery81706NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130557OTHERNORTH CAROLINAWELLPATH
201603OTHERNORTH CAROLINABCBS
38901603MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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