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Organization

PALMETTO HEALTH &WELLNESS/OASIS SKINCARE

Active
Parent organization
OASIS SKINCARE, LLC
Other names
Oasis Skincare ,LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OASIS SKINCARE, LLC
Authorized official
DR. PATRICIA ELLEN RIDDLE M.D. (MEDICAL DIRECTOR (OWNER))
(803) 535-3961
Entity
Organization

Contact information

Practice address
1101 COOK RD, ORANGEBURG, SC 29118-8204
(803) 535-3961
(803) 535-3962
Mailing address
1101 COOK RD, ORANGEBURG, SC 29118-8204
(803) 535-3961
(803) 535-3962

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19256
SC

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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