Organization
HILLCREST DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG J. COLLE MD (DOCTOR)
(803) 535-0909
Entity
Organization
Contact information
Practice address
1719 VILLAGEPARK DR, ORANGEBURG, SC 29118-2475
(803) 535-0909
Mailing address
1719 VILLAGEPARK DR, ORANGEBURG, SC 29118-2475
(803) 535-0909
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1266
—
SC
Enumeration date
07/11/2007
Last updated
11/02/2007
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