Organization
SKIN SURGERY CENTER PA
Active
Other names
The Skin Surgery Center of Charleston
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAMIE L HOPKINS (DIRECTOR OF OPERATIONS)
(336) 607-8061
Entity
Organization
Contact information
Practice address
180 WINGO WAY STE 202, MOUNT PLEASANT, SC 29464-1811
(843) 790-1777
(843) 790-1790
Mailing address
1450 PROFESSIONAL PARK DR STE 150, WINSTON SALEM, NC 27103-1307
(336) 607-8061
(336) 724-6123
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
29232
SC
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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