Individual
KIP WINTHROP DOLPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 SIMPSON ST, GREENVILLE, SC 29605-4413
(864) 522-3900
(864) 522-3909
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
51660
SC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
51660
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516604
—
SC
Enumeration date
10/09/2006
Last updated
05/18/2023
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