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Dermatology Clinic, Pa
Specialist in Anderson, South Carolina
NPI 1518929694

Dermatology Clinic, Pa is a Specialist based in Anderson, SC. Dermatology Clinic, Pa practices in Anderson, SC. The NPI Number for Dermatology Clinic, Pa is 1518929694 and holds a License No. 11493 (South Carolina).

The current practice location address for Dermatology Clinic, Pa is 1114 Cornelia Rd, Anderson, SC and can be reached out via phone at 864-225-1656 and via fax at 864-225-1658.

Location: 1114 Cornelia Rd, Anderson, SC, 29621-3317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518929694
Provider Name
Dermatology Clinic, Pa
Credential
Provider Entity Type
Organization
Address
1114 Cornelia Rd, Anderson, SC, 29621-3317
Phone Number
864-225-1656
Fax Number
864-225-1658
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114931 05 SC
institution
Provider Business Practice Location Address Details
Address
1114 Cornelia Rd
City
Anderson
State
South Carolina
Zip
29621-3317
Phone Number
864-225-1656
Fax Number
864-225-1658
person
Provider Business Mailing Address Details
Address
1114 Cornelia Rd
City
Anderson
State
South Carolina
Zip
29621-3317
Phone Number
864-225-1656
Fax Number
864-225-1658
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11493 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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