NPI | 1942594031 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMILLE MASON President 864-227-2822 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2011-06-06 |
Last Update Date | 2022-09-12 |