Organization
DENNIS J DOUD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACEY A SHIRLEY (OFFICE MANAGER)
(864) 227-2822
Entity
Organization
Contact information
Practice address
435 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-2822
(864) 227-3410
Mailing address
435 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-2822
(864) 227-3410
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9278
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092786
—
SC
Enumeration date
08/06/2007
Last updated
01/18/2011
Update your record
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