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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTRACOASTAL DERMATOLOGY AND SKIN SURGERY PLLC

Active Organization

INTRACOASTAL DERMATOLOGY AND SKIN SURGERY PLLC is a Dermatology organization located in LELAND, North Carolina. NPI 1871375055 is currently active in the NPPES registry. Verify at CMS.

Dermatology · LELAND, NC

Registration Details

NPI Number
1871375055
Provider Type
Organization
NPI Issued
Oct 20, 2023 (2.8474994443335 yrs)
Last Updated
Apr 28, 2025

Practice Information

Address
509 OLDE WATERFORD WAY STE 103
LELAND, NC, 284514126
Browse NC providers · Browse ZIP 28451
Phone
9106310301
Fax
9102921230
Primary Specialty
Dermatology
207N00000X
Additional Specialty
207NP0225X
Additional Specialty
Procedural Dermatology
Additional Specialty
Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.