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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