DERMATOLOGIC SURGERY OF THE CAROLINAS LLC – NPI #1790961670
Dermatology

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.

DERMATOLOGIC SURGERY OF THE CAROLINAS LLC is a dermatologist located in CHARLOTTE, NC. NPPES has assigned the NPI number 1790961670 to DERMATOLOGIC SURGERY OF THE CAROLINAS LLC on January 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 12 years ago on Jun 02, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERMATOLOGIC SURGERY OF THE CAROLINAS LLC below.

NPI Profile for
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC

NPI Number
1790961670
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
Primary location
15830 BALLANTYNE MEDICAL PLACE
SUITE 225
CHARLOTTE, NC 28277
Phone: (704) 919-1105 Fax: (704) 910-3163
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID LANE
OWNER
Phone: (704) 302-3707
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.