Organization
DERMA LLC
Active
Other names
Derma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD PRATHER MD (PHYSICIAN)
(225) 800-6869
Entity
Organization
Contact information
Practice address
6411 PERKINS RD STE 202, BATON ROUGE, LA 70808-4125
(225) 800-6869
Mailing address
6411 PERKINS RD STE 202, BATON ROUGE, LA 70808-4125
(225) 800-6869
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/13/2024
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