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 |