PLASTIC SURGERY CENTER OF MERIDIAN, LLC; NPI #1790714525

Contact Information

PLASTIC SURGERY CENTER OF MERIDIAN, LLC

5002 HWY 30 NORTH
BLDG. D
MERIDIAN, MS 39301

Phone: 601-481-7070
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for PLASTIC SURGERY CENTER OF MERIDIAN, LLC

NPI # 1790714525

LBN Legal business name PLASTIC SURGERY CENTER OF MERIDIAN, LLC

Authorized official LEE THORTON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2006

Last updated 01/25/2011 - About 15 years ago

Identifiers

Medicaid

03039899

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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