| NPI | 1528236312 |
|---|---|
| Former Legal Business Name | MEDSOUTH SPECIALTIES, PC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE RENEE HAMLET Owner 803-644-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 19769) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-04-20 |