Carolina Skin Surgery Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAROLINA SKIN SURGERY CENTER PA

Practice address

2615 E 7TH St
Charlotte, NC 28204-4376

Phone

(704) 295-0000

Fax

(704) 295-0005

NPI assigned

Mar 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Ronald Carruth, M.D.

Title

Owner Physician

Phone

(704) 295-0000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1033186176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044376",
            "telephone_number": "704-295-0000",
            "fax_number": "704-295-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044376",
            "telephone_number": "704-295-0000",
            "fax_number": "704-295-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SKIN SURGERY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "CARRUTH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "704-295-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina PT Solutions LLC
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• Carolina Respite LLC
• Carolina Retina and Vitreous Consultants, PA
• Carolina Speech Services, Inc.
• Carolina Spine & Rehab Center
• Carolina Spine and Rehab
• Carolina Sports Chiropractic PLLC
• Carolina Stem Cell Institute LLC

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.