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General NPI Number Information
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NPI Number | 1821201591
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1006 TREETOPS BLVD SUITE 101
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City | FLOWOOD
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State | MS
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Zip | 39232-7645
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Country | US
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Telephone | 601-939-0005
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Fax | 601-936-4949
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Provider Business Mailing Address
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Address Line | 1006 TREETOPS BLVD STE 101
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City | FLOWOOD
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State | MS
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Zip | 39232-7645
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Country | US
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Telephone | 601-939-0005
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Fax | 601-936-4949
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM H BURROW III
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Credential | M.D.
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Telephone | 601-939-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MS
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