| NPI | 1194124834 |
|---|---|
| Doing Business As | PINE BELT DERMATOLOGY & SKIN CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID B ROY Physician 601-336-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MS 21178) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-05-20 |