Organization
DERMATOLOGY ASSOCIATES OF WACCAMAW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE C GASKINS (ADMINISTRATOR)
(843) 652-8160
Entity
Organization
Contact information
Practice address
4033 HWY 17 BYPASS, STE 105, MURRELLS INLET, SC 29576-5032
(843) 652-8100
(843) 652-8122
Mailing address
PO BOX 2010, MURRELLS INLET, SC 29576-2010
(843) 652-8100
(843) 652-8122
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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