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Organization
DERMAHEAL, LLC
Active
Organization
DERMAHEAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CONSTANTINE MEXAS DO (DO/OWNER)
(843) 222-9038
Entity
Organization
Contact information
Practice address
207 CHARTWELL CT, MYRTLE BEACH, SC 29588-7273
(843) 222-9038
(843) 215-9756
Mailing address
207 CHARTWELL CT, MYRTLE BEACH, SC 29588-7273
(843) 222-9038
(843) 215-9756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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