NPI 1245424316

Tulane Dermatology Affiliates

Organisation Dermatology Physician Meridian, MS

Practice location

Address: 2321 13th St, Meridian, MS 39301-3940
Phone: (601) 484-9490
Fax: (601) 486-2457

Authorised official

Name: Larry Millikan
Title: Professor /President
Phone: (601) 484-9490

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 10582 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1245424316
Entity type: Organization
NPI issued: 31 Aug 2007
Record last updated: 31 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.