Individual
CHEMENE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 MARSHALL ST STE 406, DERMATOLOGY CONSULTANTS, PLLC, JACKSON, MS 39202-1650
(601) 968-1912
Mailing address
PO BOX 3135, DERMATOLOGY CONSULTANTS, PLLC, RIDGELAND, MS 39158-3135
(601) 968-1912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18070
MS
207N00000X
Dermatology Physician
A63958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282520
—
MS
01
—
P00121904
MEDICARE RAILROAD
MS
Enumeration date
08/02/2006
Last updated
10/13/2021
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