Pine Belt Dermatopathology Lab, PA
NPI #1366269748 in Petal, Mississippi
Provider Information
- NPI Number
- 1366269748
- Entity Type
- Organization
- Organization Name
- Pine Belt Dermatopathology Lab, PA
- Primary Specialty
- Dermatology - Dermatopathology
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 103 FORD DR
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-2801
- Phone
- (601) 475-9968
Authorized Official
- Name
- DAVID ROY, DO
- Title
- DOCTOR/OWNER
- Phone
- (601) 475-9968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Dermatopathology — Dermatopathology |
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