DEVORE DERMATOLOGY PA NPI 1689708257

NPI Information

  • NPI: 1689708257
  • Provider Name: DEVORE DERMATOLOGY PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 42D0993012
  • Address: 490 FLOYD RD
    SPARTANBURG, SC
    ZIP 29307
  • Phone: (864) 596-7546

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist15854SOUTH 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
17185MEDICARE 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: 11/21/2025

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