Seaside Dermatology Pa

LBN: Seaside Dermatology Pa
Seaside Dermatology Pa is an health care organization with primary practice located at 4017 Highway 17 Suite 200, Murrells Inlet SC 29576-5032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Seaside Dermatology Pa can be contacted via phone (843) 651-4600, or through Gibson, Vienna L. via phone (843) 651-4600.

Contact Information

Primary practice address
4017 Highway 17 Suite 200 Murrells Inlet SC 29576-5032
Phone: (843) 651-4600
Fax: (843) 651-4601
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Vienna L. Doctor of Osteopathy (DO)
Phone: (843) 651-4600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36498 South Carolina

Profile Details

NPI number 1376969428
LBN Legal business name Seaside Dermatology Pa
DBA Doing business as
Authorized official Gibson, Vienna L. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2014
Last updated Mar 4th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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