Trident Dermatology

LBN: Trident Dermatology, Pa
Trident Dermatology is an health care organization with primary practice located at 9295 Medical Plaza Dr B, Charleston SC 29406-9137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Trident Dermatology, Pa can be contacted via phone (843) 797-3960, or through Guinn, Blake Aaron via phone (843) 797-3960.

Contact Information

Primary practice address
9295 Medical Plaza Dr B Charleston SC 29406-9137
Phone: (843) 797-3960
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guinn, Blake Aaron
Phone: (843) 797-3960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 10773 South Carolina

Profile Details

NPI number 1366404659
LBN Legal business name Trident Dermatology, Pa
DBA Doing business as Trident Dermatology
Authorized official Guinn, Blake Aaron
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 14th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366404659 NPPES
South Carolina Other CK8300 MEDICARE RAILROAD
South Carolina MEDICAID PA5761 MEDICARE RAILROAD

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