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1255754008
ADVANCED DERMATOLOGY OF SC PC
SPARTANBURG, SC
NPI
1255754008
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Entity Type
Organization
Authorized Contact
MATT LEAVITT
Owner
407-875-2080
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
ADVANCED DERMATOLOGY OF SC PC
1410B JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306-3927
Phone number: 864-874-0017
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Mailing Address
ADVANCED DERMATOLOGY OF SC PC
151 SOUTHHALL LN SUITE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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