The Dermatology Group LLC
Dermatology in Columbia, SC. Organization (NPI-2).
NPI number1962454504
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1962454504
- Entity type
- Organization (NPI-2)
- Legal business name
- The Dermatology Group LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2006
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
1709 Barnwell StColumbia, SC 29201-2641
Phone 803-254-3376 · Fax 803-254-3883
Mailing address
1709 Barnwell StreetColumbia, SC 29201-2641
Phone 803-254-3376 · Fax 803-254-3883
Authorized official
Lee T Jordan
Partner
8032543376
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