| NPI | 1609536267 |
|---|---|
| Doing Business As | SACRED HEART DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BLAKE SANDERS Founder & Medical Director 980-550-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-30 |