Plastic Surgery Of North Ms Pa in Tupelo - Plastic Surgery
Plastic Surgery Of North Ms Pa - NPI 1679531255
Plastic Surgery Of North Ms Pa is a Plastic Surgery in Tupelo, Mississippi. Plastic Surgery Of North Ms Pa practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Plastic Surgery Of North Ms Pa is 1679531255. The last update date is 2020-08-22.
Plastic Surgery Of North Ms Pa's current location address is 4248 Eason Blvd, Tupelo, Mississippi. You can contact this provider via phone number 6628428949 and fax number 6628428995. The mailing address for Plastic Surgery Of North Ms Pa is 4248 Eason Blvd, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Plastic Surgery Of North Ms Pa |
---|---|
Address | 4248 Eason Blvd, Tupelo, Mississippi |
Phone Number | 6628428949 |
Fax Number | 6628428995 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
---|---|
Authorized Official Name | Pritchard Alan Douglas |
Credentials | MD |
Telephone Number | 6628428949 |
NPI Number Detail
NPI Number | 1679531255 |
---|---|
Provider Enumeration Date | 2006-05-03 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4248 Eason Blvd |
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City | Tupelo |
State | Mississippi (MS) |
Post Code | 38801 |
Phone Number | 6628428949 |
Fax Number | 6628428995 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
---|---|
Taxonomy | 208200000X |
Definition: 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 c |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
18072 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Plastic Surgery Of North Ms Pa?
The Plastic Surgery Of North Ms Pa has been issued the NPI (National Provider Identifier) 1679531255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Plastic Surgery Of North Ms Pa located?
The Plastic Surgery Of North Ms Pa is located at 4248 Eason Blvd, Tupelo, MS 38801.
What is Plastic Surgery Of North Ms Pa's area of expertise and its corresponding taxonomy classification?
The Plastic Surgery Of North Ms Pa's field of specialization is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679531255 to Plastic Surgery Of North Ms Pa?
The Centers for Medicare & Medicaid Services originally issued the 1679531255 to Plastic Surgery Of North Ms Pa on 2006-05-03.
As of what date were the details related to Plastic Surgery Of North Ms Pa most recently updated or revised?
The information pertaining to Plastic Surgery Of North Ms Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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