Dermatology Clinic A Professional Medical Corporation in Baton Rouge - Dermatology
Dermatology Clinic A Professional Medical Corporation - NPI 1972591170
Dermatology Clinic A Professional Medical Corporation is a Dermatology in Baton Rouge, Louisiana. Dermatology Clinic A Professional Medical Corporation practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dermatology Clinic A Professional Medical Corporation is 1972591170. The last update date is 2008-04-04.
Dermatology Clinic A Professional Medical Corporation's current location address is 5326 O'donovan Drive, Baton Rouge, Louisiana. You can contact this provider via phone number 2257697546 and fax number 2257690471. The mailing address for Dermatology Clinic A Professional Medical Corporation is 5326 O'donovan Drive, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Clinic A Professional Medical Corporation |
|---|---|
| Address | 5326 O'donovan Drive, Baton Rouge, Louisiana |
| Phone Number | 2257697546 |
| Fax Number | 2257690471 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD PRESIDE |
|---|---|
| Authorized Official Name | Burglass A Harry |
| Credentials | MD |
| Telephone Number | 2257697546 |
NPI Number Detail
| NPI Number | 1972591170 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 5326 O'donovan Drive |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708089153 |
| Phone Number | 2257697546 |
| Fax Number | 2257690471 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1113247 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dermatology Clinic A Professional Medical Corporation by the Centers for Medicare & Medicaid Services?
The Dermatology Clinic A Professional Medical Corporation has been issued the NPI (National Provider Identifier) 1972591170, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dermatology Clinic A Professional Medical Corporation's physical address?
The Dermatology Clinic A Professional Medical Corporation is physically located at 5326 O'Donovan Drive, in the city of Baton Rouge, LA, with the postal code 708089153.
What is Dermatology Clinic A Professional Medical Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dermatology Clinic A Professional Medical Corporation is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.
On what date did the Dermatology Clinic A Professional Medical Corporation receive the assignment of its 1972591170 from the Centers for Medicare & Medicaid Services?
The Dermatology Clinic A Professional Medical Corporation was issued its 1972591170 by the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date were the Dermatology Clinic A Professional Medical Corporation's details last updated?
The information pertaining to the Dermatology Clinic A Professional Medical Corporation, including its address, specialty, and other details, was most recently updated on 2008-04-04.