Dermatology Clinic, Pa

LBN: Dermatology Clinic, Pa
Dermatology Clinic, Pa is an health care organization with primary practice located at 1114 Cornelia Rd , Anderson SC 29621-3317. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology Clinic, Pa can be contacted via phone (864) 225-1656, or through Sturtz, Richard Paul via phone (864) 225-1656.

Contact Information

Primary practice address
1114 Cornelia Rd Anderson SC 29621-3317
Phone: (864) 225-1656
Fax: (864) 225-1658
Website:
Map and Directions
Authorized official contact:
Name: Sturtz, Richard Paul Doctor of Medicine (MD)
Phone: (864) 225-1656

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11493 South Carolina

Profile Details

NPI number 1518929694
LBN Legal business name Dermatology Clinic, Pa
DBA Doing business as
Authorized official Sturtz, Richard Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518929694 NPPES
South Carolina MEDICAID 114931

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