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Organization

WEIMER SKIN CLINIC, P.A.

Active
Parent organization
WEIMER SKIN CLINIC, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEIMER SKIN CLINIC, PA
Authorized official
MR. CARL EDWARD WEIMER JR. M.D. (PRESIDENT)
(843) 839-1414
Entity
Organization

Contact information

Practice address
1240 21ST AVENUE N, SUITE 106, MYRTLE BEACH, SC 29577-7431
(843) 839-1414
(843) 839-1413
Mailing address
1240 21ST AVENUE N., SUITE 106, MYRTLE BEACH, SC 29577-7431
(843) 839-1414
(843) 839-1413

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD 11497
SC

Other

Enumeration date
06/02/2009
Last updated
07/26/2011
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