Pine Belt Dermatology and Skin Cancer Center
NPI #1497159453 in Petal, Mississippi
Provider Information
- NPI Number
- 1497159453
- Entity Type
- Organization
- Organization Name
- Pine Belt Dermatology and Skin Cancer Center
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 201 S MAIN ST
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-2362
- Phone
- (513) 267-3658
Authorized Official
- Name
- MS. JOY LYNN MOORE
- Title
- OFFICE MANAGER
- Phone
- (513) 267-3658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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