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Organization

BETHANY R HAIRSTON MD

Active
Other names
The Dermatology Clinic, Vitality Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
BETHANY R HAIRSTON MD (OWNER/PRACTITIONER)
(662) 328-3375
Entity
Organization

Contact information

Practice address
724 LEIGH DRIVE, COLUMBUS, MS 39705-3098
(662) 328-3375
(662) 328-3395
Mailing address
724 LEIGH DR, COLUMBUS, MS 39705-3098
(662) 328-3375
(662) 328-3395

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
08/21/2009
Last updated
04/14/2026
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