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1194436956
ISLAND PARK DERMATOLOGY LLC
DANIEL ISLAND, SC
NPI
1194436956
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Entity Type
Organization
Authorized Contact
CYNTHIA IRBY WILSON
Owner
843-469-5641
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
ISLAND PARK DERMATOLOGY LLC
109 RIVER LANDING DR STE 400
DANIEL ISLAND, SC 29492-7300
Phone number: 843-469-5641
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Mailing Address
ISLAND PARK DERMATOLOGY LLC
109 RIVER LANDING DR STE 400
DANIEL ISLAND, SC 29492-7300
Phone number: 843-469-5641
Copy
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