NPI | 1427087089 |
---|---|
Entity Type | Organization |
Authorized Contact | DOLORES J WADE Asst. Mgr 843-689-5259 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2008-12-03 |