Coastal Dermatology, Llc in Mount Pleasant - Dermatology

Coastal Dermatology, Llc - NPI 1164690822

Coastal Dermatology, Llc is a Dermatology in Mount Pleasant, South Carolina. Coastal Dermatology, Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Coastal Dermatology, Llc is 1164690822. The last update date is 2011-05-10.

Coastal Dermatology, Llc's current location address is 999 Lake Hunter Cir, Mount Pleasant, South Carolina. You can contact this provider via phone number 8438812265 and fax number 8438812789. The mailing address for Coastal Dermatology, Llc is 999 Lake Hunter Cir, Mount Pleasant, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Dermatology, Llc
Address 999 Lake Hunter Cir, Mount Pleasant, South Carolina
Phone Number 8438812265
Fax Number 8438812789
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING/ C
Authorized Official Name Mittlebronn Ann Michele
Credentials M.D.
Telephone Number 8438812265

NPI Number Detail

NPI Number 1164690822
Provider Enumeration Date 2008-02-15
Last Updated Date 2011-05-10

Provider Mailing Address Detail

Address 999 Lake Hunter Cir
City Mount Pleasant
State South Carolina (SC)
Post Code 294645427
Phone Number 8438812265
Fax Number 8438812789

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 22838
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

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FAQs about Coastal Dermatology, Llc

What is the unique identification code assigned to Coastal Dermatology, Llc by the Centers for Medicare & Medicaid Services?

The Coastal Dermatology, Llc has been issued the NPI (National Provider Identifier) 1164690822. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Coastal Dermatology, Llc's facilities are situated?

The facilities of Coastal Dermatology, Llc are physically located at the following address: 999 Lake Hunter Cir, Mount Pleasant, SC, 294645427.

What is the area of specialization for Coastal Dermatology, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Coastal Dermatology, Llc is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.

On what date did the Coastal Dermatology, Llc receive the assignment of its 1164690822 from the Centers for Medicare & Medicaid Services?

The Coastal Dermatology, Llc was issued its 1164690822 by the Centers for Medicare & Medicaid Services on 2008-02-15.

As of what date were the details related to Coastal Dermatology, Llc most recently updated or revised?

The information pertaining to Coastal Dermatology, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-10.

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