Organization
MEDICAL & SURGICAL DERMATOLOGY, LLC
Active
Parent organization
MEDICAL & SURGICAL DERMATOLOGY LLC
Other names
Westgate Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL & SURGICAL DERMATOLOGY LLC
Authorized official
PETER J NEIDENBACH MD (PRESIDENT)
(828) 894-2473
Entity
Organization
Contact information
Practice address
2430 REIDVILLE RD, SPARTANBURG, SC 29301-3652
(904) 664-8644
(904) 398-7048
Mailing address
52 HOSPITAL DR STE 3A, COLUMBUS, NC 28722-8516
(828) 894-2473
(828) 894-2390
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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