Individual provider · Type 1 NPI

Fred Blackledge, MD

Plastic Surgery Physician · Jackson, MS

NPI number 1003890179 Active

Practice location

764 Lakeland Dr
Jackson, MS 39216-4617

Call (601) 981-3033 Map

Fax (601) 982-8132

Mailing address

PO Box 24023
Jackson, MS 39225-4023

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X16006 (MS)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1003890179

Fred Blackledge, MD's National Provider Identifier is 1003890179, issued on Dec 2, 2005. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Jackson, MS. The record was last updated on Jul 13, 2026.