NPI | 1073828455 |
---|---|
Doing Business As | SOUTH CENTRAL DERMATOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | MONICA MORROW Director Clinic Support 601-399-6167 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
Enumeration Date | 2010-08-10 |
Last Update Date | 2022-05-23 |