CAROLINA DERMATOLOGY CLINIC, PA
Dermatology at Saint Andrews Blvd, Charleston, SC

License number
South Carolina 24039
Category
Medical Practice
Type
Specialist
License number
South Carolina 24039
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. EDWARD A. KOTZ III MD
Title: OWNER
Phone: (843) 766-9868
Address
Address
933 Saint Andrews Blvd, Charleston, SC 29407
National Provider ID: 1639202294
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAROLINA DERMATOLOGY CLINIC, PA

811 St Andrews Blvd, Charleston, SC 29407

Registration:
Jan 4, 2005
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Edward Anthony Kotz, Iii, M.d

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