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Reforme Dermatology And Aesthetics, LLC

Dermatology in Mount Pleasant, SC. Organization (NPI-2).

NPI number1982308508
StatusActive
Last updated in NPPESAug 31, 2023

Details

NPI
1982308508
Entity type
Organization (NPI-2)
Legal business name
Reforme Dermatology And Aesthetics, LLC
Organization subpart
No
Enumeration date
Mar 28, 2023
Certification date
Aug 31, 2023
Last updated
Aug 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes
207ND0101X Dermatology, MOHS-Micrographic Surgery––

Practice location

302 Wingo Way Ste 303
Mount Pleasant, SC 29464-2839

Phone 843-974-1230 · Fax 843-974-1231

Mailing address

2265 Tillage St
Mount Pleasant, SC 29466-9505

Phone 302-893-2411

Authorized official

Gabriella Vasile
Owner
3028932411

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