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Omniverse Plastikos Pa
Plastic and Reconstructive Surgery Physician in Ridgeland, Mississippi
NPI 1871724500

Omniverse Plastikos Pa is a Plastic and Reconstructive Surgery Physician based in Madison, MS and is specialized in Plastic and Reconstructive Surgery. Omniverse Plastikos Pa practices in Ridgeland, MS. The NPI Number for Omniverse Plastikos Pa is 1871724500 and holds a License No. 20023 (Mississippi).

The current practice location address for Omniverse Plastikos Pa is 14 Professional Pkwy, Ridgeland, MS and can be reached out via phone at 601-824-1492. You can also correspond with Omniverse Plastikos Pa through the mailing address at 1888 MAIN ST, MADISON, MS - 39110-6337 (mailing address contact number: 601-824-1492).

Location: 14 Professional Pkwy, Ridgeland, MS, 39110-6337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871724500
Provider Name
Omniverse Plastikos Pa
Credential
Provider Entity Type
Organization
Address
14 Professional Pkwy, Ridgeland, MS, 39110-6337
Phone Number
601-824-1492
Fax Number
Provider Enumeration Date
07/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14 Professional Pkwy
City
Ridgeland
State
Mississippi
Zip
39157-4190
Phone Number
601-824-1492
Fax Number
person
Provider Business Mailing Address Details
Address
1888 Main St
City
Madison
State
Mississippi
Zip
39110-6337
Phone Number
601-824-1492
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
20023 (Mississippi)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
20023 (Mississippi)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
20023 (Mississippi)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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