NPI 1477782076

Waterside Dermatology and Laser Center PLLC

Organisation Dermatology Physician Denver, NC

Practice location

Address: 7476 Waterside Loop Rd Suite 600, Denver, NC 28037-7679
Phone: (704) 601-4381
Fax: (704) 822-5997

Authorised official

Name: Debra Diane Powell
Title: Owner
Phone: (704) 995-7941

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in North Carolina →

Registry record

NPI: 1477782076
Entity type: Organization
NPI issued: 6 Jul 2009
Record last updated: 10 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.