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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, P.A.

NPI Number 1083798029
LBN Legal business name THE CLINIC OF PLASTIC SURGERY, P.A.
Authorized official WILLIAM THOMPSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 01/06/2019 - About 7 years ago
Identifiers
MS License # 5413
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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