NPI | 1003009390 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES H. PHILLIPS Owner 843-375-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: SC 8871) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2009-03-23 |