Individual
DR. BETHANY HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
724 LEIGH DR, COLUMBUS, MS 39705-3098
(662) 328-3375
Mailing address
724 LEIGH DR, COLUMBUS, MS 39705-3098
(662) 328-3375
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18078
MS
Other
Enumeration date
07/20/2006
Last updated
04/24/2020
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