Organization
TULANE DERMATOLOGY AFFILIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY MILLIKAN MD (PROFESSOR /PRESIDENT)
(601) 484-9490
Entity
Organization
Contact information
Practice address
2321 13TH ST, MERIDIAN, MS 39301-3940
(601) 484-9490
(601) 486-2457
Mailing address
2321 13TH ST, MERIDIAN, MS 39301-3940
(601) 484-9490
(601) 486-2457
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10582
MS
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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