Organization
DERMATOLOGY AND SKIN CANCER CENTER OF SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSPEH M MASESSA MD (PRESIDENT)
(843) 668-4104
Entity
Organization
Contact information
Practice address
5046 HIGHWAY 17 BYP S, SUITE 103, MYRTLE BEACH, SC 29588-4503
(843) 668-4104
(201) 848-8902
Mailing address
5046 HIGHWAY 17 BYP S, SUITE 103, MYRTLE BEACH, SC 29588-4503
(843) 688-4104
(201) 848-8902
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD35615
SC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD35615
SC
207ND0900X
Dermatopathology Physician
MD35615
SC
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD35615
SC
207NS0135X
Procedural Dermatology Physician
MD35615
SC
Other
Enumeration date
08/09/2013
Last updated
10/11/2013
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