Em Dimitri DO Pmc
Em Dimitri DO Pmc is a Dermatology Physician in Bay St Louis, Mississippi. Licensed in Louisiana and Mississippi. Registered with an NPI since 2012.
- Licensed in
- LA, MS
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
624 Highway 90Bay St Louis, MS 39520-2715
Phone: (228) 467-5644
Fax: (228) 467-9961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 14885R (LA) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 21866 (MS) |
Record details
| NPI number | 1285993337 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Drake — Credentialing Coordinator · (985) 643-4512 |
| Other names | Dimitri Dermatology |
| NPI enumerated | May 10, 2012 |
| Last updated in NPPES | May 10, 2012 |
| Mailing address | 300 Gateway Dr, Slidell, LA 70461-5540 |