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DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC NPI 1003009390


NPI Information

NPI: 1003009390
Provider Name: DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 42D1087626

Address:
1280 JOHNNIE DODDS BLVD
SUITE 101
MT PLEASANT, SC
ZIP 29464
Phone: (843) 375-0055
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DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC is a dermatopathology dermatology in Mt Pleasant, SC. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC NPI is 1003009390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1280 JOHNNIE DODDS BLVD
SUITE 101
MT PLEASANT, SC
ZIP 29464-287
Phone: (843) 375-0055

The provider's authorized official is James H. Phillips .
The authorized official title is Owner and has the following contact phone number (843) 375-0055.

The CLIA number assigned to this NPI record is 42D1087626 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 3/23/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathology8871SOUTH CAROLINAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP4721MEDICAIDSOUTH CAROLINA
28849MEDICARE PINSOUTH CAROLINA
3DG5570MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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