COASTAL DERMATOLOGY, LLC
Dermatology at Lake Hunter Cir, Mount Pleasant, SC

License number
South Carolina 22838
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. MICHELE ANN MITTLEBRONN M.D.
Title: BILLING/ CREDENTIALING
Phone: (843) 881-2265
Address
Address
999 Lake Hunter Cir, Mount Pleasant, SC 29464
National Provider ID: 1164690822
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COASTAL DERMATOLOGY, LLC at bizstanding.com

COASTAL DERMATOLOGY, LLC

3704 Sta Pt Ct, Mount Pleasant, SC 29466

Registration:
Jul 3, 2003
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Michele Ann Mittelbronn

Coastal Dermatology

Mount Pleasant, SC

Industry:
Medical Doctor's Office, Offices of Physicians, Except Mental Health
Doing business as:
Coastal Dermatology LLC
Registration:
2003
Site:
coastalderm.net
Phone:
(843) 881-2265 (Phone)
Addresses:
2705 N Hwy 17, Mount Pleasant, SC 29466
999 Lk Hunter Cir #B, Mt Pleasant, SC 29464
Managers:
Carly D,Brandie Bellamy (Manager)
SIC:
8011 - Offices and Clinics of Doctors of Medicine
Categories:
Physicians & Surgeons-Medical-M.D.
Company size:
2

Dermatology licenses in South Carolina






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