Whalio Doctors

NPI 1457706434

Amanda Daggett, MD

Practitioner Dermatology Physician Ridgeland, MS

Practice location

Address
113 W Jackson St STE 2c, Ridgeland, MS 39157-2402
Phone
(601) 607-8222
Fax
(601) 914-4804
Mailing address
801 York St, Manitowoc, WI 54220-4630

Registered specialties (3)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 30216 (MS)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 321999 (LA)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01084596A (IN)

Registry record

NPI
1457706434
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Apr 2016
Record last updated
26 Jan 2023

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.