Provider Demographics
NPI:1215018031
Name:DERMATOLOGY PLC
Entity Type:Organization
Organization Name:DERMATOLOGY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FLETCHER
Authorized Official - Middle Name:COMER
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:434-296-0113
Mailing Address - Street 1:320 WINDING RIVER LN
Mailing Address - Street 2:301
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3569
Mailing Address - Country:US
Mailing Address - Phone:434-296-0113
Mailing Address - Fax:434-293-2367
Practice Address - Street 1:320 WINDING RIVER LN
Practice Address - Street 2:301
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3569
Practice Address - Country:US
Practice Address - Phone:434-296-0113
Practice Address - Fax:434-293-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC00654Medicare ID - Type UnspecifiedGROUP