| NPI | 1235174301 |
|---|---|
| Doing Business As | PEARL RIVER DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ERIC NEAL TABOR Physician 985-641-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-02-25 |