Lee Smith Carson in Columbia - Pediatric Dermatology

Lee Smith Carson - NPI 1649248576

Lee Smith Carson is a Pediatric Dermatology in Columbia, South Carolina. Lee Smith Carson practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Lee Smith Carson is 1649248576. The last update date is 2014-01-17.

Lee Smith Carson's current location address is 220 Graces Way, Columbia, South Carolina. You can contact this provider via phone number 8037364560 and fax number 8037441217. The mailing address for Lee Smith Carson is 220 Graces Way, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lee Smith Carson
Address 220 Graces Way, Columbia, South Carolina
Phone Number 8037364560
Fax Number 8037441217
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1649248576
Provider Enumeration Date 2006-03-08
Last Updated Date 2014-01-17

Provider Mailing Address Detail

Address 220 Graces Way
City Columbia
State South Carolina (SC)
Post Code 292291613
Phone Number 8037364560
Fax Number 8037441217

Provider's Primary Taxonomy Detail

Speciality Pediatric Dermatology
Taxonomy 207Np0225X
Licence No 22975
Definition:
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T70900 SC --
8616 SC MEDICARE GROUP PIN FOR NE DERM

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FAQs about Lee Smith Carson

What is the unique identifier code issued to Lee Smith Carson by the Centers for Medicare & Medicaid Services (CMS)?

The Lee Smith Carson has been assigned the NPI (National Provider Identifier) 1649248576. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Lee Smith Carson?

The Lee Smith Carson is situated at 220 Graces Way, in the city of Columbia, state of SC, with the zip code 292291613.

What is Lee Smith Carson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lee Smith Carson's area of specialization is Pediatric Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Np0225X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649248576 to Lee Smith Carson?

The Centers for Medicare & Medicaid Services originally issued the 1649248576 to Lee Smith Carson on 2006-03-08.

As of what date were the details related to Lee Smith Carson most recently updated or revised?

The information pertaining to Lee Smith Carson, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-17.

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