Organization
AUDUBON DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH CENAC JACKSON M.D. (MEMBER)
(504) 895-3376
Entity
Organization
Contact information
Practice address
3525 PRYTANIA ST, SUITE 501, NEW ORLEANS, LA 70115-3500
(504) 895-3376
(504) 910-3350
Mailing address
3525 PRYTANIA ST, SUITE 501, NEW ORLEANS, LA 70115-3500
(504) 895-3376
(504) 910-3350
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23129869
LA
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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