NPI 1104980416

Larry E Millikan, MDFAAD

Practitioner Procedural Dermatology Physician Meridian, MS

Practice location

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

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 10582 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1104980416
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2006
Record last updated: 8 Jul 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.