Organization
DERMATOLOGY AND SKIN SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP L LATHAM JR. MD (SHAREHOLDER /CO-OWNER)
(803) 775-4469
Entity
Organization
Contact information
Practice address
560 CONSTITUTION DR, SUMTER, SC 29154-8175
(803) 775-4469
(803) 775-4981
Mailing address
560 CONSTITUTION DR, SUMTER, SC 29154-8175
(803) 775-4469
(803) 775-4981
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
09/29/2025
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