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Organization

THE DERMATOLOGY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE T JORDAN MD (PARTNER)
(803) 254-3376
Entity
Organization

Contact information

Practice address
1709 BARNWELL ST, COLUMBIA, SC 29201-2641
(803) 254-3376
(803) 254-3883
Mailing address
1709 BARNWELL STREET, COLUMBIA, SC 29201-2641
(803) 254-3376
(803) 254-3883

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/16/2006
Last updated
03/26/2025
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