OrganizationActive
Polley Clinic of Dermatology & Dermatologic Surgery
NPI 1104847714 · Dermatopathology Physician · Wilson, NC
Provider details
- NPI number
- 1104847714
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kelli Newman, Credentialing Specialist
- License
- 27881 (NC)
Practice location
1806 Glendale Dr Sw
Wilson, NC 27893-4402
Phone: (252) 243-0566
Fax: (252) 243-1347
Mailing address
1806 Glendale Dr Sw
Wilson, NC 27893-4402
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2021-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.