National Provider Identifier Database

MISSISSIPPI PREMIER PLASTIC SURGERY PLLC
Plastic and Reconstructive Surgery


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
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Plastic Surgery Within the Head and Neck 2082S0099X
Surgery of the Hand 2082S0105X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC

NPI Number 1639320864
Legal business name
LBN
MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC
Authorized official PATRICIA BYERS - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/07/2008
Last updated 09/26/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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