Pine Belt Dermatology and Skin Cancer Center
Pine Belt Dermatology and Skin Cancer Center is an MOHS-Micrographic Surgery Physician in Petal, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.
- Licensed in
- MS
- In the registry since
- 2014
Practice location Address checks out
201 S Main StPetal, MS 39465-2362
Phone: (513) 267-3658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 21178 (MS) |
|---|
Record details
| NPI number | 1497159453 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joy Moore — Office Manager · (513) 267-3658 |
| NPI enumerated | October 20, 2014 |
| Last updated in NPPES | October 20, 2014 |
| Mailing address | 201 S Main St, Petal, MS 39465-2362 |
Other providers in Petal
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David B Roy DO PA
201 S Main St, Petal, MS 39465-2362 · (318) 884-9706