| NPI | 1114353539 |
|---|---|
| Doing Business As | SOUTH CENTRAL DERMATOLOGY CLINIC - WAYNESBORO |
| Entity Type | Organization |
| Authorized Contact | JAMES T CANIZARO VP Of Finance/CFO 601-399-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |