Organization
LOWER CAPE FEAR DERMATOLOGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYLOU COURREGE M.D. (PRESIDENT/OWNER)
(910) 452-0400
Entity
Organization
Contact information
Practice address
3904 OLEANDER DR, SUITE 102, WILMINGTON, NC 28403-6717
(910) 452-0400
(910) 452-0355
Mailing address
3904 OLEANDER DR, SUITE 102, WILMINGTON, NC 28403-6717
(910) 452-0400
(910) 452-0355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103912
NC
Other
Enumeration date
07/15/2006
Last updated
03/30/2009
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