Madison Medical Dermatology LLC
NPI #1831506187 in Madison, Mississippi
Provider Information
- NPI Number
- 1831506187
- Entity Type
- Organization
- Organization Name
- Madison Medical Dermatology LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jul 18, 2014
- Last Updated
- Jul 18, 2014
Practice Location
- Address
- 1607 DOCTOR'S DRIVE
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (769) 300-2100
Authorized Official
- Name
- MIRIAM SHATLEY, MD
- Title
- OWNER / MD
- Phone
- (769) 300-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Terri Hayes Henson, MD | |
| DR. Robert T Brodell, M.D. | |
| Sam C Tumminello, MD | |
| DR. Stephen E Helms, M.D. |
Organizations
| Provider Name | |
|---|---|
| St. Dominic Medical Associates, LLC Part of St. Dominic-Jackson Memorial Hospital |
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