Individual
SARA EMILY ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
7 SARAS WAY, BETHEL, CT 06801-2949
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
T-5041
MS
Other
Enumeration date
03/30/2023
Last updated
08/01/2023
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