Organization
POLARIS SKIN DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN B HAMMOND MD (OWNER)
(917) 756-0188
Entity
Organization
Contact information
Practice address
8170 ROURK STREET, SUITE 100, MYRTLE BEACH, SC 29572
(917) 756-0188
Mailing address
8170 ROURK ST STE 100, MYRTLE BEACH, SC 29572-4127
(843) 282-1915
(843) 839-1812
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9511
—
SC
Enumeration date
12/20/2019
Last updated
11/12/2025
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