| NPI | 1265063580 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SARA MARKS CEO 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2025-09-22 |