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

Esthetics Center for Dermatology PA

Organization Specialist · NPI 1891879615

Esthetics Center for Dermatology PA provides Specialist services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

353 Clement Ave
Charlotte, NC 28204-2431
Phone: (704) 370-2700
Fax: (704) 370-2702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 127728 (NC)

Record details

NPI number1891879615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Fuller — Owner · (704) 370-2700
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address353 Clement Ave, Charlotte, NC 28204-2431

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