Organization
ACCENT PLASTIC & RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CRAIG (MD)
(662) 377-6290
Entity
Organization
Contact information
Practice address
607 GARFIELD ST, TUPELO, MS 38801-6337
(662) 377-6290
(662) 377-6295
Mailing address
607 GARFIELD ST, TUPELO, MS 38801-6337
(662) 377-6290
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112173
—
MS
01
—
512G700031
MEDICARE GROUP
MS
01
—
512I240008
MEDICARE PTAN
MS
Enumeration date
08/31/2006
Last updated
08/01/2011
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