| NPI | 1720177728 |
|---|---|
| Doing Business As | PLASTIC & RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-02-22 |