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Organization
AUCC AIKEN DERMATOLOGY LLC
Active
Organization
AUCC AIKEN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FIELDS (DIRECTOR)
(706) 446-5587
Entity
Organization
Contact information
Practice address
118 PARK AVE SW, AIKEN, SC 29801-3835
(803) 641-0049
(803) 641-0810
Mailing address
1120 15TH ST # BI1056, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2019
Last updated
05/12/2021
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