Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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On Site Dermatology of North Carolina, PLLC

Organization Dermatology Physician · NPI 1376957340

On Site Dermatology of North Carolina, PLLC is a Dermatology Physician in Raleigh, North Carolina. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3737 Glenwood Ave Ste 100
Raleigh, NC 27612-5515
Phone: (877) 345-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Hedrick Dr, Thomasville, NC 27360-6009 — (877) 345-5300

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376957340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Manager · (561) 314-2000
NPI enumeratedJune 17, 2014
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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