Intracoastal Dermatology and Skin Surgery PLLC
Intracoastal Dermatology and Skin Surgery PLLC is a Dermatology Physician in Leland, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 4
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
509 Olde Waterford Way Ste 103Leland, NC 28451-4126
Phone: (910) 631-0301
Fax: (910) 292-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1871375055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Blair Harris — Member/Organizer · (910) 631-0301 |
| NPI enumerated | October 20, 2023 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 28, 2025 |
| Mailing address | 509 Olde Waterford Way Ste 103, Leland, NC 28451-4126 |
Other providers in Leland
-
Goshen Medical Center Incorporated
509 Olde Waterford Way, Leland, NC 28451-4125 · (910) 267-2057