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Coastal Dermatology & Surgery Center, Pa
Specialist in Wilmington, North Carolina
NPI 1982820031

Coastal Dermatology & Surgery Center, Pa is a Specialist based in Wilmington, NC. Coastal Dermatology & Surgery Center, Pa practices in Wilmington, NC. The NPI Number for Coastal Dermatology & Surgery Center, Pa is 1982820031 and holds a License No. 200000526 (North Carolina).

The current practice location address for Coastal Dermatology & Surgery Center, Pa is 2504 Delaney Avenue, Wilmington, NC and can be reached out via phone at 910-343-0626 and via fax at 910-343-8012.

Location: 2504 Delaney Avenue, Wilmington, NC, 28403-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982820031
Provider Name
Coastal Dermatology & Surgery Center, Pa
Credential
Provider Entity Type
Organization
Address
2504 Delaney Avenue, Wilmington, NC, 28403-6002
Phone Number
910-343-0626
Fax Number
910-343-8012
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89126AC 05 NC
institution
Provider Business Practice Location Address Details
Address
2504 Delaney Avenue
City
Wilmington
State
North Carolina
Zip
28403-6002
Phone Number
910-343-0626
Fax Number
910-343-8012
person
Provider Business Mailing Address Details
Address
2504 Delaney Avenue
City
Wilmington
State
North Carolina
Zip
28403-6002
Phone Number
910-343-0626
Fax Number
910-343-8012
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
200000526 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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