NPI 1801013719

Westside Dermatology, LLC

Organisation Dermatology Physician Spartanburg, SC

Practice location

Address: 1410b John B White Sr Blvd, Spartanburg, SC 29306-3927
Phone: (864) 574-0017
Fax: (864) 574-6088

Authorised official

Name: Peter J Neidenbach
Title: Member
Phone: (864) 574-0017

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 16384 (SC)

Other Dermatology providers in South Carolina →

Registry record

NPI: 1801013719
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 11 Oct 2007

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.