Plastic Surgery Center, P.a.

NPI 1063549178 - Surgery - 2086S0122X

NPI Details
NPI 1063549178
Enumeration Date 02/27/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANA DIANA
Position VICE PRES- OFFICE MANAGER
Phone (601) 373-3730
Fax
Practice Location
1920 CHADWICK DR
SUITE 108
JACKSON MS, 39204-3471, US
Phone (601) 373-3730
Fax
Business Location
1920 CHADWICK DR
SUITE 108
JACKSON MS, 39204-3471, US
Phone (601) 373-3730
Fax
Toxanomy
Taxonomy Code 2086S0122X
License State Mississippi
License Number 08261
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According to our database, Plastic Surgery Center, P.a. NPI is 1063549178, taxonomy code is 2086S0122X and license number is 08261, license state is located at Mississippi. Plastic Surgery Center, P.a. physically located at 1920 Chadwick Dr, Jackson MS, 39204-3471. NPI Number 1033115704 has the healthcare provider type.

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1063549178 NPI number is provided on an as is basis without warranty of any kind. 1063549178 is maintained by the National Plan & Provider Enumeration System. The contents of Plastic Surgery Center, P.a. are for informational purposes only.