Organization
ANDERSON SKIN AND CANCER CLINIC PA
Active
Other names
Dermatopathology Consultation Service
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOHNSON QUARTERMAN (OWNER)
(864) 224-7577
Entity
Organization
Contact information
Practice address
2022 CARDINAL CIR, ANDERSON, SC 29621-1504
(864) 224-7577
(864) 225-5165
Mailing address
2022 CARDINAL CIR, ANDERSON, SC 29621-1504
(864) 224-7577
(864) 225-5165
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
16908
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2329
MEDICARE ID
SC
05
—
2961
—
SC
05
—
3937PA
—
SC
05
—
404271
—
SC
01
—
AA5766
MC UPIN
SC
05
—
NP2759
—
SC
05
—
PA4496
—
SC
01
—
SC98802329
MC PTAN
SC
05
—
TL7847
—
SC
Enumeration date
04/24/2007
Last updated
09/30/2025
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