Organization
PLASTIC SURGICAL CENTER OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY BURNETT (CHIEF EXECUTIVE OFFICER)
(601) 939-9999
Entity
Organization
Contact information
Practice address
2550 FLOWOOD DR STE 101, FLOWOOD, MS 39232-9304
(601) 939-5544
(601) 939-8874
Mailing address
2550 FLOWOOD DR STE 101, FLOWOOD, MS 39232-9304
(601) 939-5544
(601) 939-8874
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0734275
—
MS
Enumeration date
11/07/2005
Last updated
10/28/2010
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