Carolina Dermatology Grp

NPI 1083693857 - Dermatology - 207ND0101X

NPI Details
NPI 1083693857
Enumeration Date 01/11/2006
Last Updated 08/30/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK G MARK
Position PRESIDENT
Phone (803) 771-7506
Fax (803) 771-9455
Practice Location
1706 ST JULIANS PLACE
COLUMBIA SC, 29204-2410, US
Phone (803) 771-7506
Fax (803) 771-9455
Business Location
1706 ST JULIANS PLACE
COLUMBIA SC, 29204-2410, US
Phone (803) 771-7506
Fax (803) 771-9455
Toxanomy
Taxonomy Code 207ND0101X
License State
License Number
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According to our database, Carolina Dermatology Grp NPI is 1083693857, taxonomy code is 207ND0101X Carolina Dermatology Grp physically located at 1706 St Julians Place, Columbia SC, 29204-2410. NPI Number 1033115704 has the healthcare provider type.

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1083693857 NPI number is provided on an as is basis without warranty of any kind. 1083693857 is maintained by the National Plan & Provider Enumeration System. The contents of Carolina Dermatology Grp are for informational purposes only.