Organization
MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B BYERS CMPE (CREDENTIALING DIRECTOR)
(601) 981-2525
Entity
Organization
Contact information
Practice address
160 FOUNTAINS BLVD, SUITE B, MADISON, MS 39110-4643
(601) 981-2525
(601) 981-3152
Mailing address
160 FOUNTAINS BLVD, SUITE B, MADISON, MS 39110-4643
(601) 981-2525
(601) 981-3152
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
09/26/2022
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