NPI | 1760043046 |
---|---|
Doing Business As | THE DERMATOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | HOLLY HARLAN Practice Manager 228-864-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2019-06-26 |
Last Update Date | 2023-02-24 |