Organization
DERMATOLOGY HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAYNIE FANT JR. (PRACTICE MANAGER)
(864) 365-6291
Entity
Organization
Contact information
Practice address
821 N MAIN ST STE 12, ANDERSON, SC 29621-5544
(864) 365-6405
(833) 471-5951
Mailing address
821 N MAIN ST STE 12, ANDERSON, SC 29621-5544
(864) 365-6405
(833) 471-5951
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG1499
—
SC
Enumeration date
02/09/2023
Last updated
12/08/2025
Update your record
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