Individual
DR. DAREN ALEXANDER FOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1409 N FANT ST, ANDERSON, SC 29621-4825
(864) 231-8599
(864) 231-8073
Mailing address
1409 N FANT ST, ANDERSON, SC 29621-4825
(864) 231-8599
(864) 231-8073
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0102205409
VA
207N00000X
Dermatology Physician
05-44847
KS
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
91371
SC
Other
Enumeration date
05/26/2017
Last updated
04/08/2026
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