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

Northeastern Dermatology PLLC

Organization Dermatology Physician · NPI 1700490182

Northeastern Dermatology PLLC is a Dermatology Physician in Rocky Mount, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Woodridge Ct
Rocky Mount, NC 27804-2294
Phone: (252) 903-1372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1700490182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Willis Martin — Owner/Physician · (252) 903-1372
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address135 Woodridge Ct, Rocky Mount, NC 27804-2294

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