Organization · Type 2 NPI
Mississippi Premier Plastic Surgery, PLLC
Plastic and Reconstructive Surgery Physician · Madison, MS
NPI number
1639320864
Active
Practice location
160 Fountains Blvd, Suite B
Madison, MS 39110-4643
Fax (601) 981-3152
Other practice locations
- 971 Lakeland Dr Ste 315, Jackson, MS 39216-4607 · (601) 981-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | None listed |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | None listed |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | None listed |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | None listed |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
About NPI 1639320864
Mississippi Premier Plastic Surgery, PLLC's National Provider Identifier is 1639320864, issued on Oct 7, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Madison, MS. The record was last updated on Sep 26, 2022.