Em Dimitri Do Pmc

NPI #1285993337 in Bay St Louis, Mississippi

Provider Information

NPI Number: 1285993337
Entity Type: Organization
Organization Name: Em Dimitri Do Pmc
Primary Specialty: Dermatology
Enumeration Date: May 10, 2012
Last Updated: May 10, 2012

Practice Location

Address: 624 HIGHWAY 90
City: Bay St Louis
State: Mississippi
ZIP Code: 39520-2715
Phone: (228) 467-5644

Authorized Official

Name: KAREN RACHEL DRAKE
Title: CREDENTIALING COORDINATOR
Phone: (985) 643-4512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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