Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. HOLLAND J PITRE, MD
Active Sole ProprietorMR. HOLLAND J PITRE, MD is a Dermatology healthcare provider located in VICKSBURG, Mississippi. NPI 1467418152 is currently active in the NPPES registry. Verify at CMS.
Dermatology · VICKSBURG, MS
Registration Details
- NPI Number
- 1467418152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2006 (20.339814009822 yrs)
- Last Updated
- Aug 30, 2013
- License
-
12026 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1202 MISSION PARK DR1202 MISSION PARK DRVICKSBURG, MS, 391803758Browse MS providers · Browse ZIP 39180
- Phone
- 6014156089
- Fax
- 6016366677
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.