INTEGRATED DERMATOLOGY OF NORTHSHORE LLC

MADISONVILLE, LA
NPI1194479725
Entity TypeOrganization
Authorized ContactERIC TABOR
Authorized Official
985-641-5198
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2022-02-11
Last Update Date2025-02-06
Business Address
INTEGRATED DERMATOLOGY OF NORTHSHORE LLC
393 HIGHWAY 21 STE 550
MADISONVILLE, LA 70447-3447
Phone number: 985-641-5198
Mailing Address
INTEGRATED DERMATOLOGY OF NORTHSHORE LLC
393 HIGHWAY 21 STE 550
MADISONVILLE, LA 70447-3447
Phone number: 985-641-5198