OrganizationActive
Azalea Skin Treatment Center PA
NPI 1760512032 · Specialist · Garner, NC
Azalea Skin Treatment Center PA is a Specialist organization in Garner, NC (NPI 1760512032).
Provider details
- NPI number
- 1760512032
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- William Ketcham, President(919) 773-4959
- License
- 29605 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
958 Vandora Springs Rd
Garner, NC 27529-3544
Phone: (919) 772-3487
Fax: (919) 772-3446
Street-level locationGet directions
Mailing address
Po Box 60634
Charlotte, NC 28260-0634
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2012-04-26
Frequently asked questions
- What is Azalea Skin Treatment Center PA's NPI number?
- Azalea Skin Treatment Center PA's National Provider Identifier (NPI) is 1760512032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Azalea Skin Treatment Center PA?
- Azalea Skin Treatment Center PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Azalea Skin Treatment Center PA located?
- Azalea Skin Treatment Center PA's practice location on file with NPPES is 958 Vandora Springs Rd, Garner, NC 27529-3544.
- What is Azalea Skin Treatment Center PA's phone number?
- The practice phone number listed in the NPPES registry for Azalea Skin Treatment Center PA is (919) 772-3487.
- Who is the authorized official for Azalea Skin Treatment Center PA?
- The authorized official listed on Azalea Skin Treatment Center PA's NPPES record is William Ketcham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Azalea Skin Treatment Center PA's NPI active?
- Yes — Azalea Skin Treatment Center PA's NPI (1760512032) is active in the NPPES registry as of the last update on 2012-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.