Carolina Dermatology Grp
LBN: Carolina Dermatology Grp
Carolina Dermatology Grp is an health care organization with primary practice located at 1706 St Julians Place , Columbia SC 29204-2410. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Carolina Dermatology Grp can be contacted via phone (803) 771-7506, or through Grant, Angela K via phone (803) 771-7506.
Contact Information
Primary practice address
1706 St Julians Place
Columbia SC 29204-2410
Phone: (803) 771-7506
Fax: (803) 771-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | South Carolina | |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | South Carolina | |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X |
Profile Details
| NPI number | 1083693857 |
|---|---|
| LBN Legal business name | Carolina Dermatology Grp |
| DBA Doing business as | |
| Authorized official | Grant, Angela K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 16th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083693857 | NPPES |
| South Carolina | MEDICAID | GP1028 |
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