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Azalea Skin Treatment Center PA

Specialist in Garner, NC · enumerated 2007 · authorized official William Ketcham, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760512032

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Registry record

Entity type Organization (Type 2)
Legal business name Azalea Skin Treatment Center PA
Practice address 958 Vandora Springs Rd, Garner, NC, 27529
Fax (919) 772-3446
Enumeration date Mar 6, 2007
Last updated in NPPES Apr 26, 2012

Taxonomy & classification

174400000X Specialist Other Service Providers · License 29605 (NC) Primary

Authorized official

Name William Ketcham
Title President

Other identifiers

Identifier Type State Issuer
0273L Other NC BCBS OF NC GROUP NUMBER
070014474 Other NC RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Azalea Skin Treatment Center PA located?
The practice location on file with NPPES is in Garner, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-04-26. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-26.