NPI | 1033306279 |
---|---|
Doing Business As | CENTRAL COAST DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | LIBBY SCOTT Practice Director 910-577-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2007-01406) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2022-03-23 |