OrganizationActive
Dermatology Associates of Coastal Carolina
NPI 1033459011 · Clinical & Laboratory Dermatological Immunology Physician · Jacksonville, NC
Provider details
- NPI number
- 1033459011
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Polo, Md/Owner(252) 633-4461
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2145 Country Club Rd
Jacksonville, NC 28546-2403
Phone: (252) 633-4461
Fax: (252) 633-6016
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 890283
Charlotte, NC 28289-0283
Registry dates
- Enumerated
- 2013-02-27
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.