Organization
WESTMORELAND DERMATOLOGY AND SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VICKERS (ADMINISTRATOR)
(662) 243-2435
Entity
Organization
Contact information
Practice address
2110 5TH ST N, COLUMBUS, MS 39705-2210
(662) 243-2435
(662) 328-7037
Mailing address
2110 5TH ST N, PO BOX 8695, COLUMBUS, MS 39705-2210
(662) 243-2435
(662) 328-7037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R798833
MS
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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