Dermatology Center Of North Ms Pa

NPI 1053491605 - Dermatology - 207N00000X

NPI Details
NPI 1053491605
Enumeration Date 10/17/2006
Last Updated 03/26/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN D JOHN
Position PRESIDENT
Phone (662) 844-6272
Fax (662) 844-1603
Practice Location
516 PEGRAM DR
TUPELO MS, 38801-6347, US
Phone (662) 844-6272
Fax (662) 844-1603
Business Location
516 PEGRAM DR
TUPELO MS, 38801-6347, US
Phone (662) 844-6272
Fax (662) 844-1603
Toxanomy
Taxonomy Code 207N00000X
License State Mississippi
License Number 7919
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According to our database, Dermatology Center Of North Ms Pa NPI is 1053491605, taxonomy code is 207N00000X and license number is 7919, license state is located at Mississippi. Dermatology Center Of North Ms Pa physically located at 516 Pegram Dr, Tupelo MS, 38801-6347. NPI Number 1033115704 has the healthcare provider type.

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1053491605 NPI number is provided on an as is basis without warranty of any kind. 1053491605 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Center Of North Ms Pa are for informational purposes only.