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

Polley Clinic of Dermatology & Dermatologic Surgery

Organization Dermatopathology Physician · NPI 1104847714

Polley Clinic of Dermatology & Dermatologic Surgery is a Dermatopathology Physician in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

1806 Glendale Dr SW
Wilson, NC 27893-4402
Phone: (252) 243-0566
Fax: (252) 243-1347
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 27881 (NC)

Record details

NPI number1104847714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Newman — Credentialing Specialist · (252) 668-7026
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 4, 2021
Certification dateAugust 6, 2020
Mailing address1806 Glendale Dr Sw, Wilson, NC 27893-4402