The Dermatology Clinic of St Tammany Ii, LLC

NPI #1356421010 in Covington, Louisiana

Provider Information

NPI Number
1356421010
Entity Type
Organization
Organization Name
The Dermatology Clinic of St Tammany Ii, LLC
Primary Specialty
Dermatology - Procedural Dermatology
Enumeration Date
Oct 17, 2006
Last Updated
Dec 5, 2019

Practice Location

Address
714 W 16TH AVE
ZIP Code
70433-2422
Phone
(985) 893-1035

Authorized Official

Name
DR. EMILY KATHERINE GRIESHABER, MD
Title
MANAGER
Phone
(985) 893-1035

Specialties & Taxonomy Codes

Specialty
Dermatology - Procedural DermatologyProcedural Dermatology

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