Pine Belt Dermatology And Skin Cancer Center, NPI 1497159453
MOHS-Micrographic Surgery Physician in Petal, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1497159453
NPI Entity Type Organization
Provider Name Pine Belt Dermatology And Skin Cancer Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 201 S Main St, Petal, MS, US
Provider Mailing Address 201 S Main St, Petal, MS, US, 394652362
Is Sole Proprietor? No
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Organization Official

Official Name MS. Joy Lynn Moore
Official Position OFFICE MANAGER
Phone 513-267-3658

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 21178
License State MS
Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

Pine Belt Dermatology And Skin Cancer Center
201 S Main St

Petal, MS, US

Phone: 513-267-3658

Mailing Address

Pine Belt Dermatology And Skin Cancer Center
201 S Main St
Petal, MS, US
ZIP 394652362
Phone: 513-267-3658

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