Organization
DERMATOLOGY & SKIN SURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNIE HUGHES (OFFICE MANAGER)
(270) 443-2471
Entity
Organization
Contact information
Practice address
110 MEDICAL CENTER DR, PADUCAH, KY 42003-7909
(270) 443-2471
(270) 443-5808
Mailing address
110 MEDICAL CENTER DR, PADUCAH, KY 42003-7909
(270) 443-2471
(270) 443-5808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
10/31/2012
Update your record
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