Crystal Coast Dermatology Services, Pa
LBN: Crystal Coast Dermatology Services, Pa
Crystal Coast Dermatology Services, Pa is an health care organization with primary practice located at 3610 Medical Park Court , Morehead City NC 28557. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
Crystal Coast Dermatology Services, Pa can be contacted via phone (252) 808-3376, or through Gross, Earl George via phone (252) 808-3376.
Contact Information
Primary practice address
3610 Medical Park Court
Morehead City NC 28557
Phone: (252) 808-3376
Fax: (252) 808-2095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 99-00855 | North Carolina |
Profile Details
| NPI number | 1841344843 |
|---|---|
| LBN Legal business name | Crystal Coast Dermatology Services, Pa |
| DBA Doing business as | |
| Authorized official | Gross, Earl George Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841344843 | NPPES |
| North Carolina | MEDICAID | 89011A5 | |
| North Carolina | Other | 011A5 |
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