Organization
COAST DERMATOPATHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE TALLINI ELKINS (PHYSICIAN)
(601) 261-2587
Entity
Organization
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 818-1111
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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