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Contact Information

COASTAL DERMATOLOGY P.C.
3176 HOLLAND RD.
103
VIRGINIA BEACH, VA23453
 Phone: 757-368-7546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for COASTAL DERMATOLOGY P.C.

NPI Number 1730405879
LBN Legal business name COASTAL DERMATOLOGY P.C.
Authorized official KIMBERLY INGRAM SODERBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2010
Last updated 04/14/2010 - About 16 years ago
Identifiers
VA License # 0101241129
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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