Tulane Dermatology Affiliates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10582 Issued in MS

Legal business name

TULANE DERMATOLOGY AFFILIATES

Practice address

2321 13TH St
Meridian, MS 39301-3940

Phone

(601) 484-9490

Fax

(601) 486-2457

NPI assigned

Aug 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry Millikan, MD

Title

Professor /President

Phone

(601) 484-9490

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Hunter Phillips III, MD

  • Dermatology Physician
  • Navarre, FL
  • NPI 1942220637
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1245424316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013940",
            "telephone_number": "601-484-9490",
            "fax_number": "601-486-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013940",
            "telephone_number": "601-484-9490",
            "fax_number": "601-486-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULANE DERMATOLOGY AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MILLIKAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PROFESSOR /PRESIDENT",
        "authorized_official_telephone_number": "601-484-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MS",
            "license": "10582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jatasia Naliyah Triplett
• Kristy M Truitt, LCSW
• Athanasios Tsiouris, M.D. FACS
• Megan Tucker, FNP-C
• Sheridan G Tucker, M.D.
• Hans Hunt Tulip, MD
• Lauren Tureaud
• Briana Shantae Turner
• Kenneth Tye
• Marshall Scott Tynes, DO

• Dermatology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.