| 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 |