Organization
DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES POLO M.D. (MD/OWNER)
(252) 633-4461
Entity
Organization
Contact information
Practice address
2145 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-2403
(252) 633-4461
(252) 633-6016
Mailing address
PO BOX 890283, CHARLOTTE, NC 28289-0283
(252) 633-4461
(252) 633-6016
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
09/21/2022
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