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CLINIC OF PLASTIC AND RECONSTRUCTIVE SURGERY P.A. NPI 1699753954


NPI Information

NPI: 1699753954
Provider Name: CLINIC OF PLASTIC AND RECONSTRUCTIVE SURGERY, P.A.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1000 BROOKFIELD RD
SUITE 100
MEMPHIS, TN
ZIP 38119
Phone: (901) 765-4700
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CLINIC OF PLASTIC AND RECONSTRUCTIVE SURGERY, P.A. is a plastic and reconstructive surgery surgery in Memphis, TN. The provider is a surgeon who specializes in plastic and reconstructive surgery. CLINIC OF PLASTIC AND RECONSTRUCTIVE SURGERY, P.A. NPI is 1699753954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 BROOKFIELD RD
SUITE 100
MEMPHIS, TN
ZIP 38119-853
Phone: (901) 765-4700
Fax: (901) 685-2717

The provider's authorized official is James G Murphy .
The authorized official title is President and has the following contact phone number (901) 765-4700.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109010384MEDICAIDMISSISSIPPI
23320467OTHERTENNESSEEBSBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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