Dermatology Center Of Meridian Pa

NPI 1013054667 - Dermatology - 207N00000X

NPI Details
NPI 1013054667
Enumeration Date 01/31/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NEILL C NEILL
Position PRESIDENT
Phone (601) 485-8535
Fax
Practice Location
4612 29TH AVE
MERIDIAN MS, 39305-1652, US
Phone (601) 485-8535
Fax
Business Location
4612 29TH AVE
MERIDIAN MS, 39305-1652, US
Phone (601) 485-8535
Fax
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Dermatology Center Of Meridian Pa NPI is 1013054667, taxonomy code is 207N00000X Dermatology Center Of Meridian Pa physically located at 4612 29th Ave, Meridian MS, 39305-1652. NPI Number 1033115704 has the healthcare provider type.

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1013054667 NPI number is provided on an as is basis without warranty of any kind. 1013054667 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Center Of Meridian Pa are for informational purposes only.