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Contact Information

PHILLIP BLEVINS, MD
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5180
 Fax: 601-984-5183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

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
Indicates primary specialty

NPI Profile & details for PHILLIP BLEVINS · (Male)

NPI # 1619907045
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 06/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 07405
  • MS Medicaid 00012332
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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