| NPI | 1104678085 |
|---|---|
| Doing Business As | CAROLINA DERMATOLOGY OF GREENVILLE |
| Entity Type | Organization |
| Authorized Contact | CHARLES DARRAGH Shareholder 864-293-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-25 |