Organization
ABIDE DERMATOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M ABIDE (OWNER)
(662) 335-3847
Entity
Organization
Contact information
Practice address
1209 S MAIN ST, GREENVILLE, MS 38701-6342
(662) 335-3847
Mailing address
1209 S MAIN ST, GREENVILLE, MS 38701-6342
(662) 335-3847
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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