| NPI | 1366404659 |
|---|---|
| Doing Business As | TRIDENT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BLAKE AARON GUINN Practice Manager 843-797-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 10773) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-08-14 |