Organization
DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H. PHILLIPS MD (OWNER)
(843) 375-0055
Entity
Organization
Contact information
Practice address
1280 JOHNNIE DODDS BLVD, SUITE 101, MT PLEASANT, SC 29464-3287
(843) 375-0055
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
8871
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4721
—
SC
Enumeration date
08/21/2007
Last updated
03/23/2009
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