# AUCC AIKEN DERMATOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932741857
- **Authorized official:** DONNA FIELDS (DIRECTOR)
- **Authorized official phone:** (706) 446-5587

## Contact information

- **Practice address:** 118 PARK AVE SW, AIKEN, SC 29801-3835
- **Practice address phone:** (803) 641-0049
- **Practice address fax:** (803) 641-0810
- **Mailing address:** 1120 15TH ST \# BI1056, AUGUSTA, GA 30912-0004
- **Mailing address phone:** (706) 721-8623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2019
- **Last updated:** 05/12/2021