Organization
NORTHSHORE DERMATOLOGY, LLC
Active
Other names
Northshore Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TABOR MD (AUTHORIZED OFFICIAL)
(985) 641-5198
Entity
Organization
Contact information
Practice address
393 HIGHWAY 21 STE 550, MADISONVILLE, LA 70447-3447
(985) 641-5198
(866) 755-7181
Mailing address
393 HIGHWAY 21 STE 550, MADISONVILLE, LA 70447-3447
(985) 641-5198
(866) 755-7181
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
06/10/2025
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