Total Skin Care and Laser Center, LLC
NPI #1114071164 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1114071164
- Entity Type
- Organization
- Organization Name
- Total Skin Care and Laser Center, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 817 DAVIS ST
- Address 2
- SUITE 2
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-7013
- Phone
- (540) 951-3429
Authorized Official
- Name
- PHILIP E GRUBBS, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (540) 951-3429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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