# PALMETTO HEALTH &WELLNESS/OASIS SKINCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OASIS SKINCARE, LLC
- **Other names:** Oasis Skincare ,LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801059928
- **Legal business name:** OASIS SKINCARE, LLC
- **Authorized official:** DR. PATRICIA ELLEN RIDDLE M.D. (MEDICAL DIRECTOR (OWNER))
- **Authorized official phone:** (803) 535-3961

## Contact information

- **Practice address:** 1101 COOK RD, ORANGEBURG, SC 29118-8204
- **Practice address phone:** (803) 535-3961
- **Practice address fax:** (803) 535-3962
- **Mailing address:** 1101 COOK RD, ORANGEBURG, SC 29118-8204
- **Mailing address phone:** (803) 535-3961
- **Mailing address fax:** (803) 535-3962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 19256 | SC | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 07/09/2008
