NPI 1649381104

Tupelo Plastic Surgery Clinic of Tupelo PA

Organisation Plastic Surgery Physician Tupelo, MS

Practice location

Address: 4381 S Eason Blvd STE 101 Longtown Medical Park, Tupelo, MS 38801-6586
Phone: (662) 377-6630
Fax: (662) 377-6635
Mailing address: 450 E President Ave, Tupelo, MS 38801-5599

Authorised official

Name: Robert Buckley
Title: MD
Phone: (662) 377-6630

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Mississippi →

Registry record

NPI: 1649381104
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 29 Feb 2008

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.