Organization
ERIC N. TABOR, M.D. A.P.M.C
Active
Other names
Pearl River Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC NEAL TABOR M.D. (PHYSICIAN)
(985) 641-5198
Entity
Organization
Contact information
Practice address
318 MEMORIAL BLVD, SUITE E, PICAYUNE, MS 39466-5509
(985) 641-5198
(985) 641-5198
Mailing address
2780 GAUSE BLVD E, SUITE A, SLIDELL, LA 70461-4149
(985) 641-5198
(985) 641-5398
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119852
—
MS
05
—
1695149
—
LA
Enumeration date
06/20/2006
Last updated
02/25/2008
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