Germain Dermatology, Pa

NPI 1417089376 - Dermatology - 207ND0101X

NPI Details
NPI 1417089376
Enumeration Date 03/09/2007
Last Updated 10/21/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NELDA NELDA
Position CONSULTANT
Phone (843) 881-4440
Fax (843) 884-8540
Practice Location
612 SEACOAST PKWY
SUITE 201
MOUNT PLEASANT SC, 29464-8247, US
Phone (843) 881-4440
Fax (843) 884-8540
Business Location
612 SEACOAST PKWY
SUITE 201
MOUNT PLEASANT SC, 29464-8247, US
Phone (843) 881-4440
Fax (843) 884-8540
Toxanomy
Taxonomy Code 207ND0101X
License State South Carolina
License Number 22169
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According to our database, Germain Dermatology, Pa NPI is 1417089376, taxonomy code is 207ND0101X and license number is 22169, license state is located at South Carolina. Germain Dermatology, Pa physically located at 612 Seacoast Pkwy, Mount Pleasant SC, 29464-8247. NPI Number 1033115704 has the healthcare provider type.

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1417089376 NPI number is provided on an as is basis without warranty of any kind. 1417089376 is maintained by the National Plan & Provider Enumeration System. The contents of Germain Dermatology, Pa are for informational purposes only.