Dermatology & Skin Cancer Specialists, Llc in Shreveport - Specialist
Dermatology & Skin Cancer Specialists, Llc - NPI 1699827113
Dermatology & Skin Cancer Specialists, Llc is a Specialist in Shreveport, Louisiana. Dermatology & Skin Cancer Specialists, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology & Skin Cancer Specialists, Llc is 1699827113. The last update date is 2013-06-05.
Dermatology & Skin Cancer Specialists, Llc's current location address is Po Box 17607, Shreveport, Louisiana. You can contact this provider via phone number 3186862021 and fax number 3186886329. The mailing address for Dermatology & Skin Cancer Specialists, Llc is Po Box 17607, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology & Skin Cancer Specialists, Llc |
|---|---|
| Address | Po Box 17607, Shreveport, Louisiana |
| Phone Number | 3186862021 |
| Fax Number | 3186886329 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Wadsworth R Carol |
| Telephone Number | 3186862021 |
NPI Number Detail
| NPI Number | 1699827113 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2013-06-05 |
Provider Mailing Address Detail
| Address | Po Box 17607 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711380607 |
| Phone Number | 3186862021 |
| Fax Number | 3186886329 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD02411R |
|
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. |
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What is the unique identification code assigned to Dermatology & Skin Cancer Specialists, Llc by the Centers for Medicare & Medicaid Services?
The Dermatology & Skin Cancer Specialists, Llc has been issued the NPI (National Provider Identifier) 1699827113. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dermatology & Skin Cancer Specialists, Llc is geographically located?
The Dermatology & Skin Cancer Specialists, Llc is physically situated at the following location: Po Box 17607, Shreveport, LA, 711380607.
What is Dermatology & Skin Cancer Specialists, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dermatology & Skin Cancer Specialists, Llc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Dermatology & Skin Cancer Specialists, Llc receive the assignment of its 1699827113 from the Centers for Medicare & Medicaid Services?
The Dermatology & Skin Cancer Specialists, Llc was issued its 1699827113 by the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date were the details related to Dermatology & Skin Cancer Specialists, Llc most recently updated or revised?
The information pertaining to Dermatology & Skin Cancer Specialists, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-05.
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