DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA is a clinical and laboratory dermatological immunology dermatology in Jacksonville, NC. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA NPI is 1033459011. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2145 COUNTRY CLUB RD
JACKSONVILLE, NC
ZIP 28546-403
Phone: (252) 633-4461
Fax: (252) 633-6016
The provider's authorized official is James Polo .
The authorized official title is Md/owner and has the following contact phone number (252) 633-4461.
The CLIA number assigned to this NPI record is 34D2056673 - practitioner other with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 2/27/2013 and was last updated on 9/21/2022.