| NPI | 1568749299 |
|---|---|
| Doing Business As | GREENVILLE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CANDACE WALDING Billing Manager 972-563-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX K8565) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: TX K8565) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2013-11-07 |