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Organization
DERMATOPATHOLOGY SPECIALISTS
Active
Organization
DERMATOPATHOLOGY SPECIALISTS
Active
Other names
Jim Phillips, MD Dermatopathologist LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHARINE MARIE HOLLAND (OFFICE MANAGER)
(843) 284-4798
Entity
Organization
Contact information
Practice address
1280 JOHNNIE DODDS BLVD UNIT 104, MT PLEASANT, SC 29464-3285
(843) 284-4799
(843) 284-4798
Mailing address
570 LONG POINT RD SUITE 230, MT PLEASANT, SC 29464
(843) 284-4799
(843) 284-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
8871
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
SC
291U00000X
Clinical Medical Laboratory
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L00252
—
SC
05
—
PA2283
—
SC
Enumeration date
10/07/2008
Last updated
01/11/2017
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