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1053491605
DERMATOLOGY CENTER OF NORTH MS PA
TUPELO, MS
NPI
1053491605
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Entity Type
Organization
Authorized Contact
JOHN D BURK
President
662-844-6272
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MS 7919)
Enumeration Date
2006-10-17
Last Update Date
2015-03-26
Business Address
DERMATOLOGY CENTER OF NORTH MS PA
516 PEGRAM DR
TUPELO, MS 38801-6347
Phone number: 662-844-6272
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Mailing Address
DERMATOLOGY CENTER OF NORTH MS PA
516 PEGRAM DR
TUPELO, MS 38801-6347
Phone number: 662-844-6272
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