Azalea Skin Treatment Center PA
NPI 1760512032ActiveOrganization· Specialist· Garner, NC
Specialist in Garner, North Carolina, registered in NPPES in March 2007. The authorized official on file is William Stewart Ketcham, M.D., President.
Overview
| NPI | 1760512032 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Apr 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 29605 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Garner
- 1740644996