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Organization
PLASTIC SURGICAL CENTER OF MISSISSIPPI
Active
Organization
PLASTIC SURGICAL CENTER OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY BURNETT (CHIEF EXECUTIVE OFFICER)
(601) 939-9999
Entity
Organization
Contact information
Practice address
2550 FLOWOOD DR STE 101, FLOWOOD, MS 39232-9304
(601) 939-5544
(601) 939-8874
Mailing address
2550 FLOWOOD DR STE 101, FLOWOOD, MS 39232-9304
(601) 939-5544
(601) 939-8874
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0734275
—
MS
Enumeration date
11/07/2005
Last updated
10/28/2010
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