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PINEHURST SKIN SURGERY CENTER PLLC
NPI 1235324344
Dermatology - Clinical & Laboratory Dermatological Immunology in Pinehurst, NC

Active since September 11, 2007
289 OLMSTED BLVD, SUITE 5, PINEHURST, NC 28374(910) 295-2945(910) 295-2937 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pinehurst Skin Surgery Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINEHURST SKIN SURGERY CENTER PLLC (NPI 1235324344) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Pinehurst, North Carolina and active in the NPI registry since September 2007. The organization lists Candace Williamson King, Physician, as its authorized official.

NPPES Registry Identity

NPI1235324344
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NamePINEHURST SKIN SURGERY CENTER PLLC
Location Address289 OLMSTED BLVD, SUITE 5Pinehurst, NC 28374-8729
Mailing Address289 Olmsted Blvd, Suite 5Pinehurst, NC 28374-8729 · (910) 295-2945 · Fax (910) 295-2937
Phone(910) 295-2945
Fax(910) 295-2937
Organization SubpartNo
Authorized OfficialCandace Williamson KingPhysician · (910) 295-2945
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJuly 12, 2012
✔ NPI 1235324344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in NC · 38791
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 38791 (NC)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 38791 (NC)
289 OLMSTED BLVD, Pinehurst, NC 28374
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Other Identifiers 1

Medicare UPINF22914NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE ROMAN BEAL
Registered Nurse
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (516) 526-1687
KHRYSTA FORREST
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 484-1711
DR. TANYA NICOLE GOODWIN PSYD
Psychologist (Clinical)
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 295-6007
TANYA THORNSBERRY
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 484-1711
AMANDA COLEMAN
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 484-1711
PAMELA KATHERINE CASSELLIUS M.A., L.P.C.
Counselor (Professional)
289 OLMSTED BLVD, SUIE 1
PINEHURST, NC 28374
Moore County (910) 295-6007
CORNELIA WINTERS RN
Registered Nurse
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 295-6007
ROBERT A FLEURY M.D.
Psychiatry & Neurology (Psychiatry)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Moore County (910) 295-6007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinehurst Skin Surgery Center PLLC's NPI number?

The NPI number for Pinehurst Skin Surgery Center PLLC is 1235324344. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Pinehurst Skin Surgery Center PLLC located?

Pinehurst Skin Surgery Center PLLC is located at 289 Olmsted Blvd Suite 5, Pinehurst, NC 28374. The listed phone number is (910) 295-2945.

What is Pinehurst Skin Surgery Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Pinehurst Skin Surgery Center PLLC was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.