| NPI | 1497699607 |
|---|---|
| Doing Business As | SOUTHPORT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L AVILA Dermatologist, Owner 910-994-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-05-08 |