| NPI | 1952136111 |
|---|---|
| Doing Business As | DERMA |
| Entity Type | Organization |
| Authorized Contact | CHAD PRATHER Physician 225-800-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-13 |