| NPI | 1114089208 |
|---|---|
| Doing Business As | DERMATOLOGY CLINIC OF LAUREL |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-268-5601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-10-07 |