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NPI Code Detail

MEDICARE: PLOHAL DERMATOLOGY PLLC

MEDICARE: PLOHAL DERMATOLOGY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1912894395
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLOHAL DERMATOLOGY PLLC
Provider Business Mailing Address
First Line : 10210 HICKORYWOOD HILL AVE STE 200
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-3417
Country : US
Telephone Number : 704-931-3376
Fax Number : 704-601-7808
Provider Business Practice Location Address
First Line : 10210 HICKORYWOOD HILL AVE STE 200
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-3417
Country : US
Telephone Number : 704-931-3376
Fax Number : 704-601-7808
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : REGINA PLOHAL
Credential : NP
Telephone Number : 704-931-3376
Provider Enumeration Date : 06/19/2025
Last Update Date : 06/19/2025

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Directions to “PLOHAL DERMATOLOGY PLLC ” Practice Location

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