Organization Name: | GRAFTON DERMATOLOGY AND COSMETIC SURGERY |
NPI Number: | 1053400416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE HOYE GRAFTON (CEO) |
Mailing Address: | 327 Bayou Gardens Blvd Houma |
State: | LA US |
Postal Code: | 703641434 |
Phone Number: | 9858765000 |
Fax Number: | 9858765280 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 023735 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |