| NPI | 1376757427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN DEANGELIS President Owner 864-231-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SC 15293) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-05-19 |