Organization
PALMETTO DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA M FLEMING (BILLING COORDINATOR)
(803) 796-2500
Entity
Organization
Contact information
Practice address
3574 SUNSET BLVD, WEST COLUMBIA, SC 29169-3044
(803) 796-2500
(803) 796-4378
Mailing address
3574 SUNSET BLVD, WEST COLUMBIA, SC 29169-3044
(803) 796-2500
(803) 796-4378
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1426
—
SC
Enumeration date
10/20/2006
Last updated
01/17/2012
Update your record
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