| NPI | 1790340750 |
|---|---|
| Other Name | ANDERSON DERMATOLOGY AND SKIN SURGERY CENTER, LLC (EASLEY) |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GREER Credentialing Specialist 864-716-0063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |