Organization
DERMATOLOGY AND SKIN CANCER CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY K MATTHEWS DO (OWNER)
(601) 512-0431
Entity
Organization
Contact information
Practice address
4612 29TH AVE, MERIDIAN, MS 39305-1652
(601) 512-0431
(601) 482-5065
Mailing address
PO BOX 722393, NORMAN, OK 73070-8810
(601) 512-0431
(601) 482-5065
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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