Capital Dermatology, LLC
NPI #1164119905 in Columbia, South Carolina
Provider Information
- NPI Number
- 1164119905
- Entity Type
- Organization
- Organization Name
- Capital Dermatology, LLC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Apr 21, 2023
- Last Updated
- Apr 21, 2023
Practice Location
- Address
- 610 COLUMBIANA DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29212-0728
- Phone
- (803) 603-5923
Authorized Official
- Name
- JULIE JEFFERSON, MD
- Title
- OWNER AND PHYSICIAN
- Phone
- (803) 603-5923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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