Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatologic Surgery of the Carolinas LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1790961670

Dermatologic Surgery of the Carolinas LLC is an MOHS-Micrographic Surgery Physician in Charlotte, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15830 Ballantyne Medical Pl Ste 225
Charlotte, NC 28277
Phone: (704) 919-1105
Fax: (704) 910-3163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1790961670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lane — Owner · (704) 302-3707
NPI enumeratedJanuary 10, 2008
Last updated in NPPESJune 2, 2014
Mailing address15830 Ballantyne Medical Place, Suite 225, Charlotte, NC 28277

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