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

Pine Belt Dermatopathology Lab, PA

Organization Dermatopathology Physician · NPI 1366269748

Pine Belt Dermatopathology Lab, PA is a Dermatopathology Physician in Petal, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

103 Ford Dr
Petal, MS 39465-2801
Phone: (601) 475-9968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X

Record details

NPI number1366269748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Roy — Doctor/Owner · (601) 475-9968
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address102 E Hospital Dr, Hattiesburg, MS 39402-1310