NPI | 1912950775 |
---|---|
Entity Type | Organization |
Authorized Contact | NINA C GODFREY Office Manager 864-351-0332 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: SC 6924) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2011-08-04 |