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Contact Information

MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC
160 FOUNTAINS BLVD
SUITE B
MADISON, MS39110-4643
 Phone: 601-981-2525
 Fax: 601-981-3152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MISSISSIPPI PREMIER PLASTIC SURGERY PLLC · (Female)

NPI Number 1639320864
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2008
Last updated 09/26/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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