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Organization

MIDSOUTH PLASTIC SURGERY PLLC

Active
Other names
MIDSOUTH PLASTIC SURGERY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORDI PUENTE ESPEL MD (MEDICAL DOCTOR)
(346) 717-7607
Entity
Organization

Contact information

Practice address
365 N PARKWAY STE 200, JACKSON, TN 38305-2876
(731) 426-3411
Mailing address
106 N SPRING DR, JACKSON, TN 38305-8116
(346) 717-7607

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
05/05/2025
Last updated
05/26/2025
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