MISSISSIPPI DERMATOLOGY ASSOCIATES PLLC NPI 1821201591

NPI Information

MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC is a specialist in Flowood, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC NPI is 1821201591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1006 TREETOPS BLVD
SUITE 101
FLOWOOD, MS
ZIP 39232-645
Phone: (601) 939-0005
Fax: (601) 936-4949

The provider's authorized official is William H Burrow .
The authorized official title is President and has the following contact phone number (601) 939-0005.

The CLIA number assigned to this NPI record is 25D0684286 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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