Organization
PLASTIC & HAND SURGERY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY T BURNETT (CHIEF EXECUTIVE OFFICER)
(601) 939-9999
Entity
Organization
Contact information
Practice address
2550 FLOWOOD DR, FLOWOOD, MS 39232-9303
(601) 939-9999
(601) 939-0590
Mailing address
2550 FLOWOOD DR STE 102, FLOWOOD, MS 39232-9304
(601) 939-9999
(601) 939-0590
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
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015858
—
MS
01
—
CK2598
MEDICARE RAILROAD
MS
Enumeration date
07/17/2006
Last updated
01/30/2023
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