| NPI | 1255582383 |
|---|---|
| Former Legal Business Name | JIM PHILLIPS, MD DERMATOPATHOLOGIST LLC |
| Entity Type | Organization |
| Authorized Contact | CATHARINE MARIE HOLLAND Office Manager 843-284-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 207ZD0900X Pathology, Dermatopathology (Licence: SC 8871) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2017-01-11 |