Organization
SHELL PLASTIC SURGERY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN H SHELL IV M.D. (PHYSICIAN/OWNER)
(901) 682-6828
Entity
Organization
Contact information
Practice address
1306 BELK BLVD, OXFORD, MS 38655-5302
(901) 682-6828
Mailing address
1306 BELK BLVD, OXFORD, MS 38655-5302
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
20125
MS
Other
Enumeration date
05/16/2008
Last updated
11/12/2012
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