NPI 1053491605

Dermatology Center of North Ms PA

Organisation Dermatology Physician Tupelo, MS

Practice location

Address: 516 Pegram Dr, Tupelo, MS 38801-6347
Phone: (662) 844-6272
Fax: (662) 844-1603

Authorised official

Name: John D Burk
Title: President
Phone: (662) 844-6272

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 7919 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1053491605
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 26 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.