The Clinic Of Plastic Surgery, P.a.

NPI 1083798029 - Specialist - 174400000X

NPI Details
NPI 1083798029
Enumeration Date 10/25/2006
Last Updated 05/01/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM O. B. WILLIAM
Position OWNER
Phone (601) 969-9050
Fax (601) 354-2443
Practice Location
1421 NORTH STATE ST
SUITE 504
JACKSON MS, 39202, US
Phone (601) 969-9050
Fax (601) 354-2443
Business Location
1421 NORTH STATE ST
SUITE 504
JACKSON MS, 39202, US
Phone (601) 969-9056
Fax (601) 354-2443
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, The Clinic Of Plastic Surgery, P.a. NPI is 1083798029, taxonomy code is 174400000X The Clinic Of Plastic Surgery, P.a. physically located at 1421 North State St, Jackson MS, 39202. NPI Number 1033115704 has the healthcare provider type.

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1083798029 NPI number is provided on an as is basis without warranty of any kind. 1083798029 is maintained by the National Plan & Provider Enumeration System. The contents of The Clinic Of Plastic Surgery, P.a. are for informational purposes only.