NPI 1013553957
Manuel Augusto Valdebran Canales
Practice location
- Address
- 5500 Front St STE 440, Summerville, SC 29486-8137
- Phone
- (843) 985-3565
- Fax
- (843) 985-9389
- Mailing address
- PO Box 751461, Charlotte, NC 28275-1461
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1013553957
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Nov 2019
- Record last updated
- 12 Dec 2024
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.