WESTSIDE DERMATOLOGY, LLC

SPARTANBURG, SC
NPI1801013719
Entity TypeOrganization
Authorized ContactPETER J NEIDENBACH
Member
864-574-0017
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  16384)
Enumeration Date2007-04-20
Last Update Date2007-10-11
Business Address
WESTSIDE DERMATOLOGY, LLC
1410B JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306-3927
Phone number: 864-574-0017
Mailing Address
WESTSIDE DERMATOLOGY, LLC
1410B JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306-3927
Phone number: 864-574-0017
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