Organization
THE PALMETTO SKIN AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E WHITE MD (OWNER PARTNER)
(803) 329-6030
Entity
Organization
Contact information
Practice address
1563 HEALTH CARE DR, ROCK HILL, SC 29732-3858
(803) 329-6030
(803) 329-6035
Mailing address
1563 HEALTH CARE DR, ROCK HILL, SC 29732-3858
(803) 329-6030
(803) 329-6035
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3336
RAILROAD MEDICARE
SC
Enumeration date
07/22/2006
Last updated
02/10/2021
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