Individual
DR. ANNA PAVLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15190 COMMUNITY RD STE 240, GULFPORT, MS 39503-3483
(228) 202-2128
(228) 280-0997
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
28641
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
28641
MS
Other
Enumeration date
04/24/2015
Last updated
05/09/2026
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