Organization
DERMATOPATHOLOGY SPECIALISTS
Active
Other names
Jim Phillips, MD Dermatopathologist LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHARINE MARIE HOLLAND (OFFICE MANAGER)
(843) 284-4798
Entity
Organization
Contact information
Practice address
1280 JOHNNIE DODDS BLVD UNIT 104, MT PLEASANT, SC 29464-3285
(843) 284-4799
(843) 284-4798
Mailing address
570 LONG POINT RD SUITE 230, MT PLEASANT, SC 29464
(843) 284-4799
(843) 284-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
8871
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
SC
291U00000X
Clinical Medical Laboratory
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L00252
—
SC
05
—
PA2283
—
SC
Enumeration date
10/07/2008
Last updated
01/11/2017
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