Individual
DR. REBECCA LUCAS CLEMENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7039 SAINT ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 749-0097
Mailing address
7039 SAINT ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 749-0097
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12331
SC LICENSE
SC
Enumeration date
08/01/2006
Last updated
07/09/2007
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