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Organization
PLASTIC SURGERY CENTER OF MERIDIAN, LLC
Active
Organization
PLASTIC SURGERY CENTER OF MERIDIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE THORTON M.D. (OWNER)
(601) 481-7070
Entity
Organization
Contact information
Practice address
5002 HWY 30 NORTH, BLDG. D, MERIDIAN, MS 39301
(601) 481-7070
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03039899
—
CA
Enumeration date
07/02/2006
Last updated
01/25/2011
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