Dermatology Clinic, Pa in Anderson - Specialist
Dermatology Clinic, Pa - NPI 1518929694
Dermatology Clinic, Pa is a Specialist in Anderson, South Carolina. Dermatology Clinic, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Clinic, Pa is 1518929694. The last update date is 2020-08-22.
Dermatology Clinic, Pa's current location address is 1114 Cornelia Rd, Anderson, South Carolina. You can contact this provider via phone number 8642251656 and fax number 8642251658. The mailing address for Dermatology Clinic, Pa is 1114 Cornelia Rd, Anderson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Clinic, Pa |
|---|---|
| Address | 1114 Cornelia Rd, Anderson, South Carolina |
| Phone Number | 8642251656 |
| Fax Number | 8642251658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Sturtz Paul Richard |
| Credentials | MD |
| Telephone Number | 8642251656 |
NPI Number Detail
| NPI Number | 1518929694 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1114 Cornelia Rd |
|---|---|
| City | Anderson |
| State | South Carolina (SC) |
| Post Code | 296213317 |
| Phone Number | 8642251656 |
| Fax Number | 8642251658 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 11493 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114931 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dermatology Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Dermatology Clinic, Pa has been issued the NPI (National Provider Identifier) 1518929694, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dermatology Clinic, Pa's facilities are geographically located?
The facilities of Dermatology Clinic, Pa are physically situated at the following location: 1114 Cornelia Rd, Anderson, SC, 296213317.
What is Dermatology Clinic, Pa's area of expertise and its corresponding taxonomy classification?
The Dermatology Clinic, Pa's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dermatology Clinic, Pa receive its 1518929694 assignment from the Centers for Medicare & Medicaid Services?
The Dermatology Clinic, Pa was assigned its 1518929694 by the Centers for Medicare & Medicaid Services on 2006-04-04.
As of what date was the information pertaining to Dermatology Clinic, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dermatology Clinic, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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