MEDICARE: ERIC CARL TORP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	14315	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841300175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC CARL TORP M.D.

Provider Business Mailing Address
First Line	:	2112 BIENVILLE BLVD STE F1
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3076
Country	:	US
Telephone Number	:	228-868-4006
Fax Number	:	228-822-2461

Provider Business Practice Location Address
First Line	:	2112 BIENVILLE BLVD
Second Line	:	SUITE F1
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3052
Country	:	US
Telephone Number	:	228-818-1850
Fax Number	:	228-818-1807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/15/2024

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