Dr. Earl Eugene Bain III
Dermatologist MOHS-Micrographic Surgeon
7200 Creedmoor Rd Suite 104
Raleigh
, North Carolina 27613-1710
Dr. Earl Eugene Bain III
Dermatologist MOHS-Micrographic Surgeon
7200 Creedmoor Rd Suite 104
Raleigh
, North Carolina 27613-1710
(919) 518-0939
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Earl Eugene Bain III
- 7200 Creedmoor Rd Suite 104
- Raleigh, NC
- Zip : 27613-1710
- Fax : (919) 518-0939
- Phone : (919) 518-0999
Second Address
- Dr. Earl Eugene Bain III
- 7200 Creedmoor Rd Suite 104
- Raleigh, NC
- Zip : 27613-1710
- Fax : (919) 518-0939
- Phone : (919) 518-0999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 32218 | AL |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 2013-02484 | NC |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 258454-1 | NY |
National Provider Identifier
| NPI | 1396970539 |
|---|---|
| Provider Name | Dr. Earl Eugene Bain III |
| First Address | Raleigh, NC 27613-1710 |
| Second Address | Raleigh, NC 27613-1710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2009 |
| Last Update Date | 19/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.