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1740218189
GREENVILLE DERMATOLOGY LLC
GREENVILLE, SC
NPI
1740218189
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Entity Type
Organization
Authorized Contact
MATTHEW L MILLER
Owner
864-242-5640
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-06-28
Last Update Date
2012-11-28
Business Address
GREENVILLE DERMATOLOGY LLC
369 WOODRUFF RD
GREENVILLE, SC 29607-3415
Phone number: 864-242-5872
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Mailing Address
GREENVILLE DERMATOLOGY LLC
PO BOX 17527
GREENVILLE, SC 29606-8527
Phone number: 864-242-5872
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