NPI 1720225501

Charlotte Dermatology,pa

Organisation Specialist Conway, SC

Practice location

Address: 660 Singleton Ridge Rd, Conway, SC 29526-9154
Phone: (866) 985-3376
Fax: (704) 364-4245
Mailing address: 2630 E Seventh St Suite 200, Charlotte, NC 28204-4318

Authorised official

Name: Gary B Slaughter
Title: Physician/Owner
Phone: (704) 364-6110

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 31329 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1720225501
Entity type: Organization
NPI issued: 15 Jan 2009
Record last updated: 15 Jan 2009

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.