OrganizationActive
Coastal Dermatology Institute LLC
NPI 1174122444 · MOHS-Micrographic Surgery Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1174122444
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Centilli, Owner(517) 203-6532
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
199 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-3589
Phone: (843) 738-0500
Approximate (ZIP-level) locationGet directions
Mailing address
199 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-3589
Registry dates
- Enumerated
- 2020-10-19
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.