Dr. Junius Blake Goslen III
MOHS-Micrographic Surgeon
1918 Randolph Rd Suite 550
Charlotte
, North Carolina 28207-1100
Dr. Junius Blake Goslen III
MOHS-Micrographic Surgeon
1918 Randolph Rd Suite 550
Charlotte
, North Carolina 28207-1100
(704) 332-6552
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Junius Blake Goslen III
- 1918 Randolph Rd Suite 550
- Charlotte, NC
- Zip : 28207-1100
- Fax : (704) 332-6552
- Phone : (704) 375-6766
Second Address
- Dr. Junius Blake Goslen III
- 1918 Randolph Rd Suite 550
- Charlotte, NC
- Zip : 28207-1100
- Fax : (704) 332-6552
- Phone : (704) 375-6766
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 18644 | NC |
National Provider Identifier
| NPI | 1265406482 |
|---|---|
| Provider Name | Dr. Junius Blake Goslen III |
| First Address | Charlotte, NC 28207-1100 |
| Second Address | Charlotte, NC 28207-1100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 06/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C88102 | (02) | NC |
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.