Coastal Dermatology Institute Llc

LBN: Coastal Dermatology Institute Llc
Coastal Dermatology Institute Llc is an health care organization with primary practice located at 199 Village Center Blvd Ste 200 , Myrtle Beach SC 29579-3589. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Coastal Dermatology Institute Llc can be contacted via phone (843) 738-0500, or through Centilli, Michael via phone (517) 203-6532.

Contact Information

Primary practice address
199 Village Center Blvd Ste 200 Myrtle Beach SC 29579-3589
Phone: (843) 738-0500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Centilli, Michael Doctor of Osteopathy (DO)
Phone: (517) 203-6532

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1174122444
LBN Legal business name Coastal Dermatology Institute Llc
DBA Doing business as
Authorized official Centilli, Michael Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2020
Last updated Jun 2nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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