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

The Skin & Wellness Center PLLC

Organization Physician Assistant · NPI 1104668219

The Skin & Wellness Center PLLC is a Physician Assistant in Bladenboro, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
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

125 S Main St Ste A
Bladenboro, NC 28320-8440
Phone: (910) 809-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104668219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Edwards — Owner/Provider · (910) 809-0030
NPI enumeratedJune 10, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing addressPo Box 88, 125 S Main St Suite A, Bladenboro, NC 28320

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