| Dermatology Consultants, Pllc | |
|
768 Avery Blvd N Ridgeland MS 39157-5219 | |
| (601) 956-5924 | |
| Not Available |
| Full Name | Dermatology Consultants, Pllc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 768 Avery Blvd N, Ridgeland, Mississippi |
| Authorized Official Name and Position | Chemene Quinn (OWNER) |
| Authorized Official Contact | 6019565924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology Consultants, Pllc Po Box 3135 Ridgeland MS 39158-3135 Ph: () - | Dermatology Consultants, Pllc 768 Avery Blvd N Ridgeland MS 39157-5219 Ph: (601) 956-5924 |
| NPI Number | 1467680546 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467680546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18070 (Mississippi) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | A63958 (California) | Primary |
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