| NPI | 1982836037 |
|---|---|
| Doing Business As | VITALITY DERMATOLOGY |
| Doing Business As | THE DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BETHANY R HAIRSTON Owner/Practitioner 662-328-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2020-09-22 |