Organization
SOUTH CAROLINA SKIN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R DEBLOOM II M.D. (OWNER/PHYSICIAN)
(864) 288-1154
Entity
Organization
Contact information
Practice address
300 ASHBY PARK LANE, GREENVILLE, SC 29607-6903
(864) 288-1154
(864) 288-2554
Mailing address
300 ASHBY PARK LANE, GREENVILLE, SC 29607-6903
(864) 288-1154
(864) 288-2554
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
TL28759
SC
Other
Enumeration date
07/26/2006
Last updated
10/23/2025
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