NPI 1174122444

Coastal Dermatology Institute LLC

Organisation MOHS-Micrographic Surgery Physician Myrtle Beach, SC

Practice location

Address: 199 Village Center Blvd STE 200, Myrtle Beach, SC 29579-3589
Phone: (843) 738-0500

Authorised official

Name: Michael Centilli
Title: Owner
Phone: (517) 203-6532

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in South Carolina →

Registry record

NPI: 1174122444
Entity type: Organization
NPI issued: 19 Oct 2020
Record last updated: 2 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.