Organization
NICHOLS OUTPATIENT FACIAL SURGERY
Active
Parent organization
ORAL AND FACIAL SURGERY OF MISSISSIPPI
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORAL AND FACIAL SURGERY OF MISSISSIPPI
Authorized official
DR. MICHAEL R NICHOLS D.M.D, M.D. (OWNER)
(601) 420-3223
Entity
Organization
Contact information
Practice address
266 KATHERINE DR, FLOWOOD, MS 39232-8801
(601) 420-3223
(601) 420-3054
Mailing address
266 KATHERINE DR, FLOWOOD, MS 39232-8801
(601) 420-3223
(601) 420-3054
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
06/11/2019
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