| NPI | 1245608934 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THE CAROLINAS - DERMATOLOGY - PELHAM |
| Entity Type | Organization |
| Authorized Contact | KENNETH MEINKE Chief Financial Officer 864-560-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-11-12 |