Polley Clinic Of Dermatology & Dermatologic Surgery
LBN: Polley Clinic Of Dermatology & Dermatologic Surgery
Polley Clinic Of Dermatology & Dermatologic Surgery is an health care organization with primary practice located at 1806 Glendale Dr Sw , Wilson NC 27893-4402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
Polley Clinic Of Dermatology & Dermatologic Surgery can be contacted via phone (252) 243-0566, or through Newman, Kelli via phone (252) 668-7026.
Contact Information
Primary practice address
1806 Glendale Dr Sw
Wilson NC 27893-4402
Phone: (252) 243-0566
Fax: (252) 243-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 27881 | North Carolina |
Profile Details
| NPI number | 1104847714 |
|---|---|
| LBN Legal business name | Polley Clinic Of Dermatology & Dermatologic Surgery |
| DBA Doing business as | |
| Authorized official | Newman, Kelli |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 4th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104847714 | NPPES |
| North Carolina | Other | 2222414 | FIRST HEALTH |
| North Carolina | Other | 0296G | FIRST HEALTH |
| North Carolina | Other | 785505 | FIRST HEALTH |
| North Carolina | Other | 68327 | FIRST HEALTH |
| North Carolina | Other | 7068303 | FIRST HEALTH |
| North Carolina | Other | 7257619 | FIRST HEALTH |
| North Carolina | MEDICAID | 890296G | FIRST HEALTH |
| North Carolina | Other | DE4848 | FIRST HEALTH |
| North Carolina | Other | 99494 | FIRST HEALTH |
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