Organization · Type 2 NPI

Plastic Surgery Center, P.a.

Plastic and Reconstructive Surgery Physician · Jackson, MS

NPI number 1063549178 Active

Practice location

1920 Chadwick Dr, Suite 108
Jackson, MS 39204-3471

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X08261 (MS)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1063549178

Plastic Surgery Center, P.a.'s National Provider Identifier is 1063549178, issued on Feb 27, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Jackson, MS. The record was last updated on Apr 20, 2008.