Organization
FAMILY DERMATOLOGY SPECIALISTS, LLC
Active
Organization
FAMILY DERMATOLOGY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY G NORTHCOTT (OFFICE MANAGER)
(504) 832-6612
Entity
Organization
Contact information
Practice address
3421 N CAUSEWAY BOULEVARD, SUITE 202, METAIRIE, LA 70002-3759
(504) 832-6612
(504) 832-6613
Mailing address
3421 N CAUSEWAY BLVD, SUITE 202, METAIRIE, LA 70002-3759
(504) 832-6612
(504) 832-6613
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207N00000X
TAXONOMY
LA
Enumeration date
02/20/2017
Last updated
02/20/2017
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