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Organization

MCLEAN J. STITH MD DERMATOLOGY DERMAPATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MCLEAN J STITH MD (PRESIDENT)
(843) 216-3376
Entity
Organization

Contact information

Practice address
852 LOWCOUNTRY BLVD STE 102, MT PLEASANT, SC 29464-3067
(843) 216-3376
Mailing address
852 LOWCOUNTRY BLVD STE 102, MT PLEASANT, SC 29464-3067
(843) 216-3376

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
18640
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186408
SC
Enumeration date
12/11/2006
Last updated
08/22/2020
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