Carolina Dermatology, LLC
NPI #1144282930 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1144282930
- Entity Type
- Organization
- Organization Name
- Carolina Dermatology, LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Apr 5, 2006
- Last Updated
- May 1, 2008
Practice Location
- Address
- 10502 PARK RD
- Address 2
- SUITE 100
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28210-8479
- Phone
- (704) 542-1366
Authorized Official
- Name
- GERALD EARL COOLEY, M.D.
- Title
- PRESIDENT/OWNER
- Phone
- (704) 542-1366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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