Riva Aesthetic Dermatology, Pllc
NPI #1285999490 in Cornelius, North Carolina
Provider Information
- NPI Number
- 1285999490
- Entity Type
- Organization
- Organization Name
- Riva Aesthetic Dermatology, Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 13, 2012
- Last Updated
- Jul 13, 2012
Practice Location
- Address
- 17039 KENTON DR
- Address 2
- SUITE 100
- City
- Cornelius
- State
- North Carolina
- ZIP Code
- 28031-5775
- Phone
- (704) 607-1518
Authorized Official
- Name
- DR. KERRY MARK SHAFRAN, M.D.
- Title
- MANAGING PHYSICIAN
- Phone
- (704) 607-1518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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