NPI 1215225636

Aesthetic Surgery Center LTD

Organisation Plastic Surgery Physician Biloxi, MS

Practice location

Address: 1720a Medical Park Dr Suite 140, Biloxi, MS 39532-2129
Phone: (228) 392-4454
Fax: (228) 392-4533
Mailing address: PO Box 6066, Gulfport, MS 39506-6066

Authorised official

Name: Courtney Richardson
Title: Vice President
Phone: (228) 392-4454

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 11075 (MS)

Other Plastic Surgery providers in Mississippi →

Registry record

NPI: 1215225636
Entity type: Organization
NPI issued: 19 Jul 2011
Record last updated: 19 Oct 2011

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.