Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dermatology and Skin Cancer Clinic, PA

Organization Specialist · NPI 1598819450

Dermatology and Skin Cancer Clinic, PA is a Specialist in Vicksburg, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1202 Mission Park Dr
Vicksburg, MS 39180-3758
Phone: (601) 636-6675
Fax: (601) 636-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1598819450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Pitre — President · (601) 636-6675
NPI enumeratedJanuary 22, 2007
Last updated in NPPESNovember 29, 2010
Mailing address1202 Mission Park Dr, Vicksburg, MS 39180-3758

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