NPI 1023477841

Plastic Surgery of North Ms., PA

Organisation Plastic and Reconstructive Surgery Physician Tupelo, MS

Practice location

Address: 4248 S Eason Blvd STE B, Tupelo, MS 38801-6549
Phone: (662) 842-8949
Fax: (662) 842-8995

Authorised official

Name: Douglas Alan Pritchard
Title: Owner
Phone: (662) 842-8949

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 12950 (MS)

Other Surgery providers in Mississippi →

Registry record

NPI: 1023477841
Entity type: Organization
NPI issued: 22 Feb 2016
Record last updated: 22 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.