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Intracoastal Dermatology and Skin Surgery Pllc

Dermatology Physician in Leland, NC · enumerated 2023 · authorized official Blair Harris, Member/Organizer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871375055

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Registry record

Entity type Organization (Type 2)
Legal business name Intracoastal Dermatology and Skin Surgery Pllc
Practice address 509 Olde Waterford Way Ste 103, Leland, NC, 28451
Phone (910) 631-0301
Fax (910) 292-1230
Enumeration date Oct 20, 2023
Last updated in NPPES Apr 28, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Blair Harris
Title Member/Organizer
Phone (910) 631-0301

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Intracoastal Dermatology and Skin Surgery Pllc?
Intracoastal Dermatology and Skin Surgery Pllc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-28.