Organization
ATLANTIC DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RAY WARRICK M.D. (OWNER)
(843) 399-9965
Entity
Organization
Contact information
Practice address
2237 HIGHWAY 9 E, LONGS, SC 29568-5701
(843) 399-9965
(843) 399-9974
Mailing address
2237 HIGHWAY 9 E, LONGS, SC 29568-5701
(843) 399-9965
(843) 399-9974
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
SC
207NS0135X
Procedural Dermatology Physician
Primary
—
SC
Other
Enumeration date
07/11/2014
Last updated
08/18/2022
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