Dr. Nicole Leigh Bolick, MD
Dermatology in Charlotte, NC. Individual provider (NPI-1).
NPI number1285255166
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1285255166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Leigh Bolick
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2020
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 202500335 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | RS2022-0770 | NM | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NM |
Practice location
5815 Blakeney Park Dr Ste 100Charlotte, NC 28277-5732
Phone 704-542-2220 · Fax 704-542-3304
Mailing address
1072 X Ray DrGastonia, NC 28054-7488
Phone 980-399-6330 · Fax 704-671-1095
Other practice locations
Msc07 4240 1 University Of New Mexico
Albuquerque, NM 87131-0001
Albuquerque, NM 87131-0001
Phone 505-272-6000 · Fax 505-272-6003
309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886
Charlotte, NC 28211-2886
Phone 704-344-8846 · Fax 704-344-9844
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