Organization
DERMATOLOGY AND AESTHETIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA G NUNNALLY M.D. (OWNER)
(225) 769-3376
Entity
Organization
Contact information
Practice address
7330 PERKINS ROAD, BATON ROUGE, LA 70808-4325
(225) 769-3376
Mailing address
PO BOX 82429, BATON ROUGE, LA 70884-2429
(225) 769-3376
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
LA
Other
Enumeration date
05/03/2007
Last updated
03/05/2014
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