Organization
PLASTIC SURGERY CENTER OF HATTIESBURG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE TALBOT (DIRECTOR)
(601) 296-3405
Entity
Organization
Contact information
Practice address
40 FRANKLIN RD, HATTIESBURG, MS 39402-1318
(601) 296-3405
(601) 296-3409
Mailing address
40 FRANKLIN RD, HATTIESBURG, MS 39402-1318
(601) 296-3405
(601) 296-3409
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
139170
MS
208200000X
Plastic Surgery Physician
15450
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00980856
—
MS
Enumeration date
01/11/2007
Last updated
07/28/2021
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