Organization
CLEARLINE DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RUSSELL PIERCE MD (PRESIDENT)
(843) 723-6529
Entity
Organization
Contact information
Practice address
776 DANIEL ELLIS DR STE 1A, CHARLESTON, SC 29412-3095
(678) 977-9753
Mailing address
776 DANIEL ELLIS DR STE 1A, CHARLESTON, SC 29412-3095
(843) 723-6529
(843) 723-0424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
02/26/2021
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