Southern Dermatology, PA
Southern Dermatology, PA provides Specialist services in Raleigh, 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.
Practice location Address checks out
4201 Lake Boone Trl Ste 200Raleigh, NC 27607-7511
Phone: (919) 782-2152
Fax: (919) 782-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 9900389 (NC) |
|---|
Record details
| NPI number | 1568415586 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Peterman — Md · (443) 351-3376 |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | February 14, 2025 |
| Certification date | February 14, 2025 |
| Mailing address | 1306 Concourse Dr Ste 201, Linthicum Heights, MD 21090-1033 |
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