Provider Demographics
NPI:1538125729
Name:DERMATOLOGY PRACTICE OF THE CAROLINAS PA
Entity Type:Organization
Organization Name:DERMATOLOGY PRACTICE OF THE CAROLINAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:POINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-544-8200
Mailing Address - Street 1:10348 PARK RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8401
Mailing Address - Country:US
Mailing Address - Phone:704-544-8200
Mailing Address - Fax:
Practice Address - Street 1:10348 PARK RD
Practice Address - Street 2:STE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8401
Practice Address - Country:US
Practice Address - Phone:704-544-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty