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1821367046
SOUTHERN DERMATOLOGY LLC
AIKEN, SC
NPI
1821367046
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Entity Type
Organization
Authorized Contact
JOHN R COOK
Owner
803-644-5779
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: SC 11685)
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
SOUTHERN DERMATOLOGY LLC
2110 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803-3809
Phone number: 803-644-5779
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Mailing Address
SOUTHERN DERMATOLOGY LLC
2110 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803-3809
Phone number: 803-644-5779
Copy
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