# DERMATOLOGY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laser & Skin Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982783270
- **Authorized official:** DR. A THOMAS BUNDY MD (EXECUTIVE OFFICER)
- **Authorized official phone:** (843) 689-9200

## Contact information

- **Practice address:** 15 HOSPITAL CENTER BLVD, STE 2, HILTON HEAD, SC 29926
- **Practice address phone:** (843) 689-9200
- **Practice address fax:** (843) 689-9201
- **Mailing address:** 15 HOSPITAL CENTER BLVD, STE 2, HILTON HEAD, SC 29926
- **Mailing address phone:** (843) 689-9200
- **Mailing address fax:** (843) 689-9201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 05/18/2016