NPI 1336918408

Medical & Surgical Dermatology, LLC

Organisation Dermatology Physician Spartanburg, SC

Practice location

Address: 2430 Reidville Rd, Spartanburg, SC 29301-3652
Phone: (904) 664-8644
Fax: (904) 398-7048
Mailing address: 52 Hospital Dr STE 3a, Columbus, NC 28722-8516

Authorised official

Name: Peter J Neidenbach
Title: President
Phone: (828) 894-2473

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in South Carolina →

Registry record

NPI: 1336918408
Entity type: Organization
NPI issued: 29 Dec 2023
Record last updated: 29 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.