Individual
DR. ERICA HUTCHESON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 FOUNTAINS BLVD STE B, MADISON, MS 39110-6343
(601) 981-2525
(601) 981-3152
Mailing address
160 FOUNTAINS BLVD STE B, MADISON, MS 39110-6343
(601) 981-2525
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
22857
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0520851
—
MS
Enumeration date
07/01/2008
Last updated
11/19/2018
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