Organization Name: | BURLINGTON DERMATOLOGY CENTER, INC. |
NPI Number: | 1962544767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD ROBERT HENDERSON (DOCTOR) |
Mailing Address: | 1522 Vaughn Rd Burlington |
State: | NC US |
Postal Code: | 272172871 |
Phone Number: | 3362269393 |
Fax Number: | 3362270496 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 04/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 13641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |