The Dermatology Clinic Of St Tammany Ii, Llc in Covington - Procedural Dermatology
The Dermatology Clinic Of St Tammany Ii, Llc - NPI 1356421010
The Dermatology Clinic Of St Tammany Ii, Llc is a Procedural Dermatology in Covington, Louisiana. The Dermatology Clinic Of St Tammany Ii, Llc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for The Dermatology Clinic Of St Tammany Ii, Llc is 1356421010. The last update date is 2019-12-05.
The Dermatology Clinic Of St Tammany Ii, Llc's current location address is 714 W 16th Ave, Covington, Louisiana. You can contact this provider via phone number 9858931035. The mailing address for The Dermatology Clinic Of St Tammany Ii, Llc is 714 W 16th Ave, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Dermatology Clinic Of St Tammany Ii, Llc |
|---|---|
| Address | 714 W 16th Ave, Covington, Louisiana |
| Phone Number | 9858931035 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Grieshaber Katherine Emily |
| Credentials | MD |
| Telephone Number | 9858931035 |
NPI Number Detail
| NPI Number | 1356421010 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2019-12-05 |
Provider Mailing Address Detail
| Address | 714 W 16th Ave |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 704332422 |
| Phone Number | 9858931035 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 08440 52 06 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1054810 | LA | -- |
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What is the unique identification code assigned to The Dermatology Clinic Of St Tammany Ii, Llc by the Centers for Medicare & Medicaid Services?
The The Dermatology Clinic Of St Tammany Ii, Llc has been issued the NPI (National Provider Identifier) 1356421010. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the The Dermatology Clinic Of St Tammany Ii, Llc located?
The The Dermatology Clinic Of St Tammany Ii, Llc is located at 714 W 16Th Ave, Covington, LA 704332422.
What is The Dermatology Clinic Of St Tammany Ii, Llc's area of expertise and its corresponding taxonomy classification?
The The Dermatology Clinic Of St Tammany Ii, Llc's field of specialization is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1356421010 to The Dermatology Clinic Of St Tammany Ii, Llc?
The Centers for Medicare & Medicaid Services assigned the 1356421010 to The Dermatology Clinic Of St Tammany Ii, Llc on 2006-10-17.
As of what date were the The Dermatology Clinic Of St Tammany Ii, Llc's details last updated?
The information pertaining to the The Dermatology Clinic Of St Tammany Ii, Llc, including its address, specialty, and other details, was most recently updated on 2019-12-05.