| NPI | 1134360357 |
|---|---|
| Doing Business As | EAST COAST DERMAESTHETICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN M HOLLADAY CEO 843-614-2884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-07-10 |