Organization
DERMATOLOGY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL STURTZ MD (PHYSICIAN)
(864) 225-1656
Entity
Organization
Contact information
Practice address
1114 CORNELIA RD, ANDERSON, SC 29621-3317
(864) 225-1656
(864) 225-1658
Mailing address
1114 CORNELIA RD, ANDERSON, SC 29621-3317
(864) 225-1656
(864) 225-1658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114931
—
SC
Enumeration date
04/04/2006
Last updated
08/22/2020
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