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Organization

EAST COAST DERMATOLOGY

Active
Parent organization
EAST COAST PRACTICE MANAGEMENT
Other names
East Coast Dermaesthetics
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST COAST PRACTICE MANAGEMENT
Authorized official
MR. BRIAN M HOLLADAY MHA (CEO)
(843) 614-2884
Entity
Organization

Contact information

Practice address
1300 HOSPITAL DR, SUITE 310, MOUNT PLEASANT, SC 29464-3261
(843) 614-2884
(843) 614-2884
Mailing address
1300 HOSPITAL DR, SUITE 310, MOUNT PLEASANT, SC 29464-3261
(843) 971-7546
(843) 971-3376

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/18/2009
Last updated
07/10/2009
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