NPI 1083798029

The Clinic of Plastic Surgery, P.A.

Organisation Plastic Surgery Physician Jackson, MS

Practice location

Address: 1421 North State St Suite 504, Jackson, MS 39202
Phone: (601) 969-9050
Fax: (601) 354-2443

Authorised official

Name: William O Thompson
Title: President
Phone: (601) 969-9050

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 5413 (MS)

Other Plastic Surgery providers in Mississippi →

Registry record

NPI: 1083798029
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 6 Jan 2019

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.