Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 29063 | SC |
NPI | 1063433936 |
---|---|
Provider Name | Allison L Cashman |
First Address | Columbia, SC 29204-4057 |
Second Address | Columbia, SC 29204-4057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 29/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BC9898959 | DEA (01) | SC |
I58843 | (02) | SC |
P00358097 | RAILROAD (01) | SC |