Organization
PHILLIP K BLEVINS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP K BLEVINS M.D. (OWNER)
(601) 364-2800
Entity
Organization
Contact information
Practice address
971 LAKELAND DR, SUITE 654, JACKSON, MS 39216-4643
(601) 364-2800
(601) 918-7667
Mailing address
239 KATHERINE DR, FLOWOOD, MS 39232-9588
(601) 427-0464
(601) 427-0442
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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