MISSISSIPPI CENTER FOR PLASTIC SURGERY NPI 1184022485

NPI Information

  • NPI: 1184022485
  • Provider Name: MISSISSIPPI CENTER FOR PLASTIC SURGERY
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 200 W JACKSON ST
    SUITE 100
    RIDGELAND, MS
    ZIP 39157
  • Phone: (769) 300-4055

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NPI Details

MISSISSIPPI CENTER FOR PLASTIC SURGERY is a plastic and reconstructive surgery surgery in Ridgeland, MS. The provider is a surgeon who specializes in plastic and reconstructive surgery. MISSISSIPPI CENTER FOR PLASTIC SURGERY NPI is 1184022485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 W JACKSON ST
SUITE 100
RIDGELAND, MS
ZIP 39157-310
Phone: (769) 300-4055
Fax: (601) 427-5864

The provider's authorized official is Paige C. Swindle .
The authorized official title is Office Manager and has the following contact phone number (769) 300-4055.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 10/8/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery19109MISSISSIPPIYes

What is NPI?

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This page was last updated on: 11/21/2025

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