Organization
PLASTIC SURGERY CENTER OF MERIDIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE THORTON M.D. (OWNER)
(601) 481-7070
Entity
Organization
Contact information
Practice address
5002 HWY 30 NORTH, BLDG. D, MERIDIAN, MS 39301
(601) 481-7070
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03039899
—
CA
Enumeration date
07/02/2006
Last updated
01/25/2011
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