COASTAL DERMATOLOGY INSTITUTE LLC

MYRTLE BEACH, SC
NPI1174122444
Entity TypeOrganization
Authorized ContactMICHAEL CENTILLI
Owner
517-203-6532
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
Enumeration Date2020-10-19
Last Update Date2021-06-02
Business Address
COASTAL DERMATOLOGY INSTITUTE LLC
199 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579-3589
Phone number: 843-738-0500
Mailing Address
COASTAL DERMATOLOGY INSTITUTE LLC
199 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579-3589
Phone number:
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