Dermatology Associates of Coastal Carolina
Dermatology Associates of Coastal Carolina is a Clinical & Laboratory Dermatological Immunology Physician in Jacksonville, North Carolina. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
2145 Country Club RdJacksonville, NC 28546-2403
Phone: (252) 633-4461
Fax: (252) 633-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical & Laboratory Dermatological Immunology Physician (primary) | Taxonomy 207NI0002X |
|---|
Record details
| NPI number | 1033459011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Polo — Md/Owner · (252) 633-4461 |
| NPI enumerated | February 27, 2013 |
| Last updated in NPPES | September 21, 2022 |
| Certification date | September 21, 2022 |
| Mailing address | Po Box 890283, Charlotte, NC 28289-0283 |