OrganizationActive
Pine Belt Dermatopathology Lab, PA
NPI 1366269748 · Dermatopathology Physician · Petal, MS
Provider details
- NPI number
- 1366269748
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Roy, Doctor/Owner(601) 475-9968
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
103 Ford Dr
Petal, MS 39465-2801
Phone: (601) 475-9968
Approximate (ZIP-level) locationGet directions
Mailing address
102 E Hospital Dr
Hattiesburg, MS 39402-1310
Registry dates
- Enumerated
- 2024-09-25
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.