Bluewater Dermatology And Skin Cancer Center Pa
Specialty details in registry · Leland, NC
At a glance
144 Poole Rd Ste 101, Leland, NC 28451-9504
NPPES record updated Nov 1, 2021. Public records can lag behind changes at a practice.
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Practice location
144 Poole Rd Ste 101Leland, NC 28451-9504
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207ND0101X
- Enumeration date
- Jun 28, 2017
- Record updated
- Nov 1, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
207ND0101X · Primary
License reported: 2012-00516 NC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
144 Poole Rd Ste 101Leland, NC 28451-9504
- Phone
- (910) 262-1048
- Fax
- (910) 256-6039
Mailing address
144 POOLE RD STE 101LELAND, NC 284519504
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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