Organization
GULF SHORE DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TORP M.D. (PHYSICIAN)
(228) 818-1850
Entity
Organization
Contact information
Practice address
2112 BIENVILLE BLVD, SUITE F1, OCEAN SPRINGS, MS 39564-3052
(228) 818-1850
(228) 818-1807
Mailing address
1304 44TH AVE, GULFPORT, MS 39501-2552
(228) 868-4006
(228) 822-2461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14315
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09324843
—
MS
Enumeration date
08/30/2006
Last updated
08/15/2011
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