Organization · Type 2 NPI
Mississippi Center for Plastic Surgery
Plastic and Reconstructive Surgery Physician · Ridgeland, MS
NPI number
1184022485
Active
Practice location
200 W Jackson St, Suite 100
Ridgeland, MS 39157-2310
Fax (601) 427-5864
Mailing address
PO Box 13582
Jackson, MS 39236-3582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 19109 (MS) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
Other plastic and reconstructive surgery physician providers in Ridgeland
About NPI 1184022485
Mississippi Center for Plastic Surgery's National Provider Identifier is 1184022485, issued on Dec 18, 2014. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Ridgeland, MS. The record was last updated on Oct 8, 2015.