Carolina Dermatology Grp in Columbia - Mohs-micrographic Surgery
Carolina Dermatology Grp - NPI 1083693857
Carolina Dermatology Grp is a Mohs-micrographic Surgery in Columbia, South Carolina. Carolina Dermatology Grp practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Carolina Dermatology Grp is 1083693857. The last update date is 2011-08-30.
Carolina Dermatology Grp's current location address is 1706 St Julians Place, Columbia, South Carolina. You can contact this provider via phone number 8037717506 and fax number 8037719455. The mailing address for Carolina Dermatology Grp is 1706 St Julians Place, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Dermatology Grp |
|---|---|
| Address | 1706 St Julians Place, Columbia, South Carolina |
| Phone Number | 8037717506 |
| Fax Number | 8037719455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blaskis G Mark |
| Credentials | MD |
| Telephone Number | 8037717506 |
NPI Number Detail
| NPI Number | 1083693857 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2011-08-30 |
Provider Mailing Address Detail
| Address | 1706 St Julians Place |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292042410 |
| Phone Number | 8037717506 |
| Fax Number | 8037719455 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP1028 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Carolina Dermatology Grp?
The Carolina Dermatology Grp has been issued the NPI (National Provider Identifier) 1083693857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Carolina Dermatology Grp?
The Carolina Dermatology Grp is situated at 1706 St Julians Place, in the city of Columbia, state of SC, with the zip code 292042410.
What is Carolina Dermatology Grp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carolina Dermatology Grp is Mohs-micrographic Surgery, and the taxonomy code that categorizes this field of expertise is 207Nd0101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083693857 to Carolina Dermatology Grp?
The Carolina Dermatology Grp received its 1083693857 assignment from the Centers for Medicare & Medicaid Services on 2006-01-11.
When was the information pertaining to Carolina Dermatology Grp most recently updated or revised?
The details related to Carolina Dermatology Grp, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-30.