NORTHEAST DERMATOLOGY, PA

COLUMBIA, SC
NPI1154422558
Entity TypeOrganization
Authorized ContactLEE SMITH CARSON
President
803-736-4560
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  22975)
Enumeration Date2006-09-26
Last Update Date2023-03-07
Business Address
NORTHEAST DERMATOLOGY, PA
220 GRACES WAY
COLUMBIA, SC 29229
Phone number: 803-736-4560
Mailing Address
NORTHEAST DERMATOLOGY, PA
220 GRACES WAY
COLUMBIA, SC 29229
Phone number: 803-736-4560
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