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Organization

DERMATOLOGY CONSULTANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHEMENE QUINN MD (OWNER)
(601) 956-5924
Entity
Organization

Contact information

Practice address
768 AVERY BLVD N, RIDGELAND, MS 39157-5219
(601) 956-5924
Mailing address
PO BOX 3135, RIDGELAND, MS 39158-3135

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
18070
MS
261QM2500X
Medical Specialty Clinic/Center
Primary
A63958
CA

Other

Enumeration date
06/26/2009
Last updated
06/26/2009
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