Dermatology Center Of Meridian Pa in Meridian - Dermatology
Dermatology Center Of Meridian Pa - NPI 1013054667
Dermatology Center Of Meridian Pa is a Dermatology in Meridian, Mississippi. Dermatology Center Of Meridian Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dermatology Center Of Meridian Pa is 1013054667. The last update date is 2020-08-22.
Dermatology Center Of Meridian Pa's current location address is 4612 29th Ave, Meridian, Mississippi. You can contact this provider via phone number 6014858535. The mailing address for Dermatology Center Of Meridian Pa is 4612 29th Ave, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Center Of Meridian Pa |
|---|---|
| Address | 4612 29th Ave, Meridian, Mississippi |
| Phone Number | 6014858535 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Porter C Neill |
| Credentials | MD |
| Telephone Number | 6014858535 |
NPI Number Detail
| NPI Number | 1013054667 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4612 29th Ave |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393051652 |
| Phone Number | 6014858535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
|
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 |
|---|---|---|---|
| 3808062 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dermatology Center Of Meridian Pa by the Centers for Medicare & Medicaid Services?
The Dermatology Center Of Meridian Pa has been issued the NPI (National Provider Identifier) 1013054667 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Dermatology Center Of Meridian Pa is physically located?
The Dermatology Center Of Meridian Pa is physically situated at the following address: 4612 29Th Ave, Meridian, MS, 393051652.
What is Dermatology Center Of Meridian Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dermatology Center Of Meridian Pa's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did the Dermatology Center Of Meridian Pa receive its 1013054667 assignment from the Centers for Medicare & Medicaid Services?
The Dermatology Center Of Meridian Pa was assigned its 1013054667 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date was the information regarding Dermatology Center Of Meridian Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dermatology Center Of Meridian Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.