institution
Soma Plastic Surgery And Hand Clinic
Medical Specialty Clinic/Center in Flowood, Mississippi
NPI 1629393491

Soma Plastic Surgery And Hand Clinic is a Medical Specialty Clinic/Center based in Flowood, MS and is specialized in Medical Specialty. Soma Plastic Surgery And Hand Clinic practices in Flowood, MS. The NPI Number for Soma Plastic Surgery And Hand Clinic is 1629393491 and holds a License No. 18863 (Mississippi).

The current practice location address for Soma Plastic Surgery And Hand Clinic is 2630 Courthouse Cir Ste A, Flowood, MS and can be reached out via phone at 601-914-0732 and via fax at 601-914-5598. You can also correspond with Soma Plastic Surgery And Hand Clinic through the mailing address at 2630 COURTHOUSE CIR STE A, FLOWOOD, MS - 39232-9562 (mailing address contact number: 601-914-0732).

Location: 2630 Courthouse Cir Ste A, Flowood, MS, 39232-9562
institution
Provider Profile Details
NPI Number
1629393491
Provider Name
Soma Plastic Surgery And Hand Clinic
Credential
Provider Entity Type
Organization
Address
2630 Courthouse Cir Ste A, Flowood, MS, 39232-9562
Phone Number
601-914-0732
Fax Number
601-914-5598
Provider Enumeration Date
04/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05606851 05 MS
1467654376 01 MS TRICARE
9065378 01 MS AETNA
302I248082 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2630 Courthouse Cir Ste A
City
State
Zip
39232-9562
Phone Number
601-914-0732
Fax Number
601-914-5598
person
Provider Business Mailing Address Details
Address
2630 Courthouse Cir Ste A
City
State
Zip
39232-9562
Phone Number
601-914-0732
Fax Number
601-914-5598
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
18863 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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