| NPI | 1821285974 |
|---|---|
| Doing Business As | DIMITRI DERMATOLOGY |
| Doing Business As | MISSISSIPPI SKIN AND PSORIASIS CENTER |
| Entity Type | Organization |
| Authorized Contact | KAREN R DRAKE General Manager 504-229-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 14885R) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2024-01-31 |