Polaris Skin Diagnostics, Llc

LBN: Polaris Skin Diagnostics, Llc
Polaris Skin Diagnostics, Llc is an health care organization with primary practice located at 8170 Rourk Street Suite 100, Myrtle Beach SC 29572. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. Polaris Skin Diagnostics, Llc can be contacted via phone (917) 756-0188, or through Hammond, Stephen B via phone (917) 756-0188.

Contact Information

Primary practice address
8170 Rourk Street Suite 100 Myrtle Beach SC 29572
Phone: (917) 756-0188
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hammond, Stephen B Doctor of Medicine (MD)
Phone: (917) 756-0188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X

Profile Details

NPI number 1215575238
LBN Legal business name Polaris Skin Diagnostics, Llc
DBA Doing business as
Authorized official Hammond, Stephen B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2019
Last updated Aug 4th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215575238 NPPES
South Carolina MEDICAID GP9511

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