Individual
FREDERICK CORTNEY SAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 FOUNTAINS BLVD STE B, MADISON, MS 39110-6380
(601) 981-2525
Mailing address
160 FOUNTAINS BLVD STE B, MADISON, MS 39110-6380
(601) 981-2525
(601) 981-3152
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
072112
GA
208600000X
Surgery Physician
20642
MS
208600000X
Surgery Physician
25MA10417400
NJ
208600000X
Surgery Physician
MD427106
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
20642
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
302577
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
59513
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
MD427106
PA
Other
Enumeration date
05/27/2007
Last updated
06/12/2020
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