NPI | 1467183418 |
---|---|
Doing Business As | SOUTH CENTRAL DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | BRITTANY HASBARGEN Director 601-426-4795 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2022-06-21 |
Last Update Date | 2023-10-31 |