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DERMATOLOGY AND SKIN CANCER CLINIC, P.A.
NPI 1598819450
Specialist in Vicksburg, MS

Active since January 22, 2007
1202 MISSION PARK DR, VICKSBURG, MS 39180(601) 636-6675(601) 636-6677 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology And Skin Cancer Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY AND SKIN CANCER CLINIC, P.A. (NPI 1598819450) is a healthcare organization registered as a specialist in Vicksburg, Mississippi and active in the NPI registry since January 2007. The organization lists Wayne M. Pitre, President, as its authorized official.

NPPES Registry Identity

NPI1598819450
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY AND SKIN CANCER CLINIC, P.A.
Location Address1202 MISSION PARK DRVicksburg, MS 39180-3758
Mailing Address1202 Mission Park DrVicksburg, MS 39180-3758 · (601) 636-6675 · Fax (601) 636-6677
Phone(601) 636-6675
Fax(601) 636-6677
Organization SubpartNo
Authorized OfficialWayne M. PitrePresident · (601) 636-6675
Enumeration DateJanuary 22, 2007
Last NPPES UpdateNovember 29, 2010
✔ NPI 1598819450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1202 MISSION PARK DR, Vicksburg, MS 39180
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE ERIN DAVIS PA
Physician Assistant
1202 MISSION PARK DR
VICKSBURG, MS 39180
Warren County (601) 738-5549
DR. RAMAN JEET SOHAL
Internal Medicine
1202 MISSION PARK DR
VICKSBURG, MS 39180
Warren County (601) 738-5549
MS. SIMARJIT KAUR PA
Physician Assistant
1202 MISSION PARK DR
VICKSBURG, MS 39180
Warren County (601) 738-5549
MR. HOLLAND J PITRE MD
Dermatology
1202 MISSION PARK DR, 1202 MISSION PARK DR
VICKSBURG, MS 39180
Warren County (601) 415-6089
DR. DAWINDER SINGH SOHAL
Internal Medicine (Nephrology)
1202 MISSION PARK DR
VICKSBURG, MS 39180
Warren County (601) 738-5549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology And Skin Cancer Clinic, P.A.'s NPI number?

The NPI number for Dermatology And Skin Cancer Clinic, P.A. is 1598819450. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Dermatology And Skin Cancer Clinic, P.A. located?

Dermatology And Skin Cancer Clinic, P.A. is located at 1202 Mission Park Dr, Vicksburg, MS 39180. The listed phone number is (601) 636-6675.

What is Dermatology And Skin Cancer Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology And Skin Cancer Clinic, P.A. was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.