OrganizationActive
The Cutaneous Laser Center
NPI 1487843199 · Procedural Dermatology Physician · Jackson, MS
Provider details
- NPI number
- 1487843199
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sabra Sullivan, Manager(601) 355-8555
- License
- 14238 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 Marshall St Ste 606
Jackson, MS 39202-1650
Phone: (601) 355-8555
Fax: (601) 355-2244
Approximate (ZIP-level) locationGet directions
Mailing address
501 Marshall St Ste 606
Jackson, MS 39202-1650
Registry dates
- Enumerated
- 2007-10-18
- Last updated
- 2007-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.