Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology Center of Meridian PA

Organization Dermatology Physician · NPI 1013054667

Dermatology Center of Meridian PA provides Dermatology Physician services in Meridian, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4612 29th Ave
Meridian, MS 39305-1652
Phone: (601) 485-8535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1013054667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neill Porter — President · (601) 485-8535
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4612 29th Ave, Meridian, MS 39305-1652

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