Caroline Doo, | |
2500 N State St, Department Of Dermatology, Jackson, MS 39216-4500 | |
(601) 815-3061 | |
Not Available |
Full Name | Caroline Doo |
---|---|
Gender | Female |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 2500 N State St, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750736898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | T-3108 (Mississippi) | Primary |
Entity Name | Peninsula Dermatologic Surgery Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598901340 PECOS PAC ID: 0648320689 Enrollment ID: O20090612000038 |
Mailing Address | Practice Location Address |
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Caroline Doo, 2500 N State St, Department Of Dermatology, Jackson, MS 39216-4500 Ph: (601) 815-3061 | Caroline Doo, 2500 N State St, Department Of Dermatology, Jackson, MS 39216-4500 Ph: (601) 815-3061 |
Julie P Wyatt, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3000 Old Canton Rd Ste 430, Jackson, MS 39216 Phone: 601-982-5441 Fax: 601-982-5442 | |
Kimberley Helen Morine Ward, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
Dr. Joseph H Robinson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1278 | |
Dr. Ashton Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000 | |
Chemene Quinn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202 Phone: 601-968-1912 | |
Dr. Ashley Nicole Emerson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1675 Lakeland Dr Ste 200, Jackson, MS 39216 Phone: 601-589-1810 | |
Dr. Robert T Brodell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-815-3374 |