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1417349747
COLUMBIA DERMATOLOGY LLC
COLUMBIA, SC
NPI
1417349747
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Entity Type
Organization
Authorized Contact
JESSICA RAE BURGY
Physician
304-894-4582
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2015-02-24
Last Update Date
2015-06-11
Business Address
COLUMBIA DERMATOLOGY LLC
2241 BUSH RIVER RD
COLUMBIA, SC 29210-5626
Phone number: 304-894-4582
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Mailing Address
COLUMBIA DERMATOLOGY LLC
2241 BUSH RIVER RD
COLUMBIA, SC 29210-5626
Phone number: 304-894-4582
Copy
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