Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluewater Dermatology and Skin Cancer Center PA

Organization MOHS-Micrographic Surgery Physician · NPI 1245751403

Bluewater Dermatology and Skin Cancer Center PA is an MOHS-Micrographic Surgery Physician in Leland, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

144 Poole Rd Ste 101
Leland, NC 28451-9504
Phone: (910) 262-1048
Fax: (910) 256-6039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 2012-00516 (NC)

Record details

NPI number1245751403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Braza — President · (910) 640-0899
NPI enumeratedJune 28, 2017
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address144 Poole Rd Ste 101, Leland, NC 28451-9504

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