Individual
DR. CAROLYN ANN CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
281 TRACE COLONY PARK DR STE A, RIDGELAND, MS 39157-8810
(601) 345-1090
(601) 642-3272
Mailing address
344 SUNDIAL RD, MADISON, MS 39110-8772
(512) 796-8628
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
N7411
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
22944
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
BP1-0026911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06906031
—
MS
05
—
175653
—
AL
05
—
2406418
—
LA
01
—
3872487469
MYUTMB 3872487469-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
12/02/2025
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