Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Azalea Skin Treatment Center PA

Organization Specialist · NPI 1760512032

Azalea Skin Treatment Center PA provides Specialist services in Garner, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

958 Vandora Springs Rd
Garner, NC 27529-3544 Not confirmed with CMS for 14 years — call before visiting
Phone: (919) 772-3487
Fax: (919) 772-3446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 29605 (NC)

Record details

NPI number1760512032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Ketcham — President · (919) 773-4959
NPI enumeratedMarch 6, 2007
Last updated in NPPESApril 26, 2012
Mailing addressPo Box 60634, Charlotte, NC 28260-0634

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