NPI | 1972576536 |
---|---|
Doing Business As | COLUMBIA SKIN CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | JIM C CHOW Partner 803-779-7316 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
207ND0900X Dermatology Dermatopathology | |
363A00000X Physician Assistant | |
Enumeration Date | 2006-02-13 |
Last Update Date | 2021-07-30 |