| NPI | 1932126695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY T BURNETT Chief Executive Officer 601-939-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck |
| 2082S0105X Plastic Surgery Surgery of the Hand | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-01-30 |