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Organization

DERMATOLOGY OF LEXINGTON, LLC

Active
Other names
Dermatology of Lexington, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE DEANN WELCH M.D. (PRESIDENT/PHYSICIAN)
(803) 951-1717
Entity
Organization

Contact information

Practice address
346 W. BUTLER STREET, LEXINGTON, SC 29072-7342
(803) 951-1717
(803) 951-1878
Mailing address
346 W. BUTLER STREET, LEXINGTON, SC 29072-7342
(803) 951-1717
(803) 951-1878

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4349
SC
Enumeration date
02/20/2006
Last updated
03/18/2015
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