| 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 |