Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lower Cape Fear Dermatology Clinic, PA

Organization Specialist · NPI 1770509358

Lower Cape Fear Dermatology Clinic, PA provides Specialist services in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3904 Oleander Dr Ste 102
Wilmington, NC 28403-6717 Not confirmed with CMS for 17 years — call before visiting
Phone: (910) 452-0400
Fax: (910) 452-0355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 103912 (NC)

Record details

NPI number1770509358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marylou Courrege — President/Owner · (910) 452-0400
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 30, 2009
Mailing address3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717

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