DEVORE DERMATOLOGY PA NPI 1689708257

NPI Information

DEVORE DERMATOLOGY PA is a specialist in Spartanburg, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DEVORE DERMATOLOGY PA NPI is 1689708257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

490 FLOYD RD
SPARTANBURG, SC
ZIP 29307-518
Phone: (864) 596-7546
Fax: (864) 596-7549

The provider's authorized official is Karen A Devore .
The authorized official title is Owner and has the following contact phone number (864) 596-7546.

The CLIA number assigned to this NPI record is 42D0993012 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 12/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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