| NPI | 1538695168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCESCA LEWIS Owner 843-819-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2020-09-28 |