MCCOMB SKIN CLINIC PA
NPI 1740448653
Dermatology in Mccomb, MS

Active since May 28, 2008
136 MARION AVE, MCCOMB, MS 39648(601) 684-3210(601) 684-3319 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mccomb Skin Clinic Pa NPPES

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

MCCOMB SKIN CLINIC PA (NPI 1740448653) is a healthcare organization registered as a dermatology in Mccomb, Mississippi and active in the NPI registry since May 2008. The organization lists Linda Young Brock, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1740448653
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMCCOMB SKIN CLINIC PA
Location Address136 MARION AVEMccomb, MS 39648-3620
Mailing Address136 Marion AveMccomb, MS 39648-3620 · (601) 684-3210 · Fax (601) 684-3319
Fax(601) 684-3319
Organization SubpartNo
Authorized OfficialLinda Young BrockOffice Administrator · (601) 684-3210
Enumeration DateMay 28, 2008
Last NPPES UpdateJuly 1, 2008
NPI 1740448653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MS · 7285
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
136 MARION AVE, Mccomb, MS 39648

Other Identifiers 3

Medicare UPINC48072MS
Medicaid09014899MS
Medicare PIN512G700186MS

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 4

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

Dermatology
136 MARION AVE
MCCOMB, MS 39648
Nurse Practitioner
136 MARION AVE
MCCOMB, MS 39648
Nurse Practitioner (Family)
136 MARION AVE
MCCOMB, MS 39648
Dermatology
136 MARION AVE
MCCOMB, MS 39648

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 Mccomb Skin Clinic PA's NPI number?

The NPI number for Mccomb Skin Clinic PA is 1740448653. It was assigned to this organization in the NPPES registry on May 28, 2008.

Where is Mccomb Skin Clinic PA located?

Mccomb Skin Clinic PA is located at 136 Marion Ave, Mccomb, MS 39648. The listed phone number is (601) 684-3210.

What is Mccomb Skin Clinic PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Mccomb Skin Clinic PA was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.