Polley Clinic of Dermatology & Dermatologic Surgery
NPI #1104847714 in Wilson, North Carolina
Provider Information
- NPI Number
- 1104847714
- Entity Type
- Organization
- Organization Name
- Polley Clinic of Dermatology & Dermatologic Surgery
- Primary Specialty
- Dermatology - Dermatopathology
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 1806 GLENDALE DR SW
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27893-4402
- Phone
- (252) 243-0566
Authorized Official
- Name
- KELLI NEWMAN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (252) 668-7026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Dermatopathology — Dermatopathology |
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