| NPI | 1750487716 |
|---|---|
| Doing Business As | MIDLOTHIAN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE S BOHANNON President Owner 804-378-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-06-27 |