Integrated Dermatology Group, LLC

NPI #1164930517 in Greenville, Mississippi

Provider Information

NPI Number: 1164930517
Entity Type: Organization
Organization Name: Integrated Dermatology Group, LLC
Primary Specialty: Dermatology
Enumeration Date: Jan 19, 2018
Last Updated: Jan 19, 2018

Practice Location

Address: 2525 HIGHWAY 1 S STE A
City: Greenville
State: Mississippi
ZIP Code: 38701-8354
Phone: (662) 335-1103

Authorized Official

Name: ADAM S. PLOTKIN
Title: AUTHORIZED OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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