institution
Plastic Surgery Of North Ms., Pa
Plastic and Reconstructive Surgery Physician in Tupelo, Mississippi
NPI 1023477841

Plastic Surgery Of North Ms., Pa is a Plastic and Reconstructive Surgery Physician based in Tupelo, MS and is specialized in Plastic and Reconstructive Surgery. Plastic Surgery Of North Ms., Pa practices in Tupelo, MS. The NPI Number for Plastic Surgery Of North Ms., Pa is 1023477841 and holds a License No. 12950 (Mississippi).

The current practice location address for Plastic Surgery Of North Ms., Pa is 4248 S Eason Blvd Ste B, Tupelo, MS and can be reached out via phone at 662-842-8949 and via fax at 662-842-8995.

Location: 4248 S Eason Blvd Ste B, Tupelo, MS, 38801-6549
institution
Provider Profile Details
NPI Number
1023477841
Provider Name
Plastic Surgery Of North Ms., Pa
Credential
Provider Entity Type
Organization
Address
4248 S Eason Blvd Ste B, Tupelo, MS, 38801-6549
Phone Number
662-842-8949
Fax Number
662-842-8995
Provider Enumeration Date
02/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018072 05 MS
institution
Provider Business Practice Location Address Details
Address
4248 S Eason Blvd Ste B
City
State
Zip
38801-6549
Phone Number
662-842-8949
Fax Number
662-842-8995
person
Provider Business Mailing Address Details
Address
4248 S Eason Blvd Ste B
City
State
Zip
38801-6549
Phone Number
662-842-8949
Fax Number
662-842-8995
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
12950 (Mississippi)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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