Individual
MARK STEVEN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5002 HIGHWAY 39 N, MERIDIAN, MS 39301-1078
(601) 880-3850
(601) 693-7758
Mailing address
4612 29TH AVE, MERIDIAN, MS 39305-1652
(601) 512-0431
(601) 482-5065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16268
MS
208200000X
Plastic Surgery Physician
16268
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000061
—
MS
Enumeration date
09/24/2006
Last updated
02/06/2025
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