Organization · Type 2 NPI

Hattiesburg Clinic, PA

Plastic Surgery Physician · Hattiesburg, MS

NPI number 1720177728 Active

Practice location

1 Lincoln Pkwy Ste 200
Hattiesburg, MS 39402-3261

Fax (601) 261-3684

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed

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 1720177728

Hattiesburg Clinic, PA's National Provider Identifier is 1720177728, issued on Oct 11, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 9, 2026.