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Contact Information

GERMAIN DERMATOLOGY, PA
612 SEACOAST PKWY
SUITE 201
MOUNT PLEASANT, SC29464-8247
 Phone: 843-881-4440
 Fax: 843-884-8540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for GERMAIN DERMATOLOGY, PA

NPI # 1417089376
LBN Legal business name GERMAIN DERMATOLOGY, PA
Authorized official NELDA FIELDS - (CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 10/21/2009 - About 17 years ago
Identifiers
SC License # 1048
SC License # 22169
SC Other 1750308219 NPI OF MD
SC Other 1417048638 NPI OF PA
SC Other 1740514223 NPI OF PA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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