NPI 1487843199

The Cutaneous Laser Center

Organisation Procedural Dermatology Physician Jackson, MS

Practice location

Address: 501 Marshall St STE 606, Jackson, MS 39202-1650
Phone: (601) 355-8555
Fax: (601) 355-2244

Authorised official

Name: Sabra Sullivan
Title: Manager
Phone: (601) 355-8555

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 14238 (MT)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1487843199
Entity type: Organization
NPI issued: 18 Oct 2007
Record last updated: 18 Oct 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.