Organization
DAVID B ROY DO PA
Active
Other names
Pine Belt Dermatology & Skin Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BERNARD ROY D.O. (DOCTOR)
(601) 475-9968
Entity
Organization
Contact information
Practice address
201 S MAIN ST, PETAL, MS 39465-2362
(318) 884-9706
Mailing address
102 E HOSPITAL DR, HATTIESBURG, MS 39402-1310
(601) 475-9968
(601) 475-9969
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
21178
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09537875
—
MS
01
—
1194124834
GROUP NPI
MS
01
—
595626050
BC/BS OF MS
MS
Enumeration date
08/19/2014
Last updated
06/11/2025
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