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Organization
PLASTIC SURGERY OF NORTH MS., PA
Active
Organization
PLASTIC SURGERY OF NORTH MS., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALAN PRITCHARD M.D. (OWNER)
(662) 842-8949
Entity
Organization
Contact information
Practice address
4248 S EASON BLVD STE B, TUPELO, MS 38801-6549
(662) 842-8949
(662) 842-8995
Mailing address
4248 S EASON BLVD STE B, TUPELO, MS 38801-6549
(662) 842-8949
(662) 842-8995
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
12950
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018072
—
MS
Enumeration date
02/22/2016
Last updated
02/22/2016
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