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Contact Information

THE CLINIC OF PLASTIC SURGERY, P.A.
1421 NORTH STATE ST
SUITE 504
JACKSON, MS39202
 Phone: 601-969-9050
 Fax: 601-354-2443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THE CLINIC OF PLASTIC SURGERY PA · (Female)

NPI # 1083798029
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 01/06/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 5413
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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