| NPI | 1982261947 |
|---|---|
| Doing Business As | DERMATOLOGY CENTER OF COLUMBIA |
| Former Legal Business Name | COLUMBIA DERMATOLOGY AND COSMETIC SURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | KAITLIN SCHIAVO Physician/ Owner 573-673-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-01-25 |