NPI 1588803571

Phillip K Blevins, MD, PLLC

Organisation Plastic Surgery Physician Jackson, MS

Practice location

Address: 971 Lakeland Dr Suite 654, Jackson, MS 39216-4643
Phone: (601) 364-2800
Fax: (601) 918-7667
Mailing address: 239 Katherine Dr, Flowood, MS 39232-9588

Authorised official

Name: Phillip K Blevins
Title: Owner
Phone: (601) 364-2800

Registered specialties (3)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Mississippi →

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X

Registry record

NPI: 1588803571
Entity type: Organization
NPI issued: 13 Feb 2009
Record last updated: 13 Feb 2009

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.