NPI | 1518191329 |
---|---|
Doing Business As | PRICE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | RICHARD M PRICE Owner/ Administrator 601-856-6024 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 13907) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2019-05-20 |