Organization
PARAGON SKIN & SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALA BLAIR CHAPPELEAR (PRACTICE LIAISON)
(864) 231-8599
Entity
Organization
Contact information
Practice address
1409 N FANT STREET, ANDERSON, SC 29621-4825
(864) 231-8599
(864) 231-8073
Mailing address
1409 N FANT ST, ANDERSON, SC 29621-4825
(864) 231-8599
(864) 231-8073
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
15293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055723
—
SC
05
—
GP0590
—
SC
Enumeration date
05/09/2007
Last updated
04/16/2026
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