The Dermatology Clinic, Pllc in Gulfport - Specialist
The Dermatology Clinic, Pllc - NPI 1720284946
The Dermatology Clinic, Pllc is a Specialist in Gulfport, Mississippi. The Dermatology Clinic, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for The Dermatology Clinic, Pllc is 1720284946. The last update date is 2023-02-24.
The Dermatology Clinic, Pllc's current location address is P.o. Box 6625, Gulfport, Mississippi. You can contact this provider via phone number 2288643300 and fax number 2288643333. The mailing address for The Dermatology Clinic, Pllc is P.o. Box 6625, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Dermatology Clinic, Pllc |
|---|---|
| Address | P.o. Box 6625, Gulfport, Mississippi |
| Phone Number | 2288643300 |
| Fax Number | 2288643333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Wingfield B Angela |
| Credentials | MD |
| Telephone Number | 2288643300 |
NPI Number Detail
| NPI Number | 1720284946 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2023-02-24 |
Provider Mailing Address Detail
| Address | P.o. Box 6625 |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395066625 |
| Phone Number | 2288643300 |
| Fax Number | 2288643333 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 17831 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25D1013637 | CLIA | ||
| 6375287 | MS | -- | |
| 874879 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to The Dermatology Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The The Dermatology Clinic, Pllc has been assigned the NPI (National Provider Identifier) 1720284946 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where The Dermatology Clinic, Pllc's facilities are situated?
The facilities of The Dermatology Clinic, Pllc are physically located at the following address: P.O. Box 6625, Gulfport, MS, 395066625.
What is The Dermatology Clinic, Pllc's area of expertise and its corresponding taxonomy classification?
The The Dermatology Clinic, Pllc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the The Dermatology Clinic, Pllc receive its 1720284946?
The The Dermatology Clinic, Pllc was issued its 1720284946 on 2007-06-25, which is the date when the organization was assigned this unique identifier.
When was the information related to The Dermatology Clinic, Pllc most recently updated or refreshed?
The details pertaining to the The Dermatology Clinic, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC