Plastic Surgery Center, P.A.

LBN: Plastic Surgery Center, P.A.
Plastic Surgery Center, P.A. is an health care organization with primary practice located at 1920 Chadwick Dr Suite 108, Jackson MS 39204-3471. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Plastic Surgery Center, P.A. can be contacted via phone (601) 373-3730, or through Gorman, Diana via phone (601) 373-3730.

Contact Information

Primary practice address
1920 Chadwick Dr Suite 108 Jackson MS 39204-3471
Phone: (601) 373-3730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gorman, Diana
Phone: (601) 373-3730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 08261 Mississippi

Profile Details

NPI number 1063549178
LBN Legal business name Plastic Surgery Center, P.A.
DBA Doing business as
Authorized official Gorman, Diana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063549178 NPPES
Mississippi MEDICAID 05959573

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