| Organization Name: | TOTAL HEALTH AND SKIN CENTER |
| NPI Number: | 1124378831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETSY ROOP (OFFICE MANAGER) |
| Mailing Address: | 108 Bass Lake Rd Holly Springs |
| State: | NC US |
| Postal Code: | 275407620 |
| Phone Number: | 9198185193 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2012 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35603 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |