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ACCENT PLASTIC & RECONSTRUCTIVE SURGERY NPI 1215048939


NPI Information

NPI: 1215048939
Provider Name: ACCENT PLASTIC & RECONSTRUCTIVE SURGERY
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
607 GARFIELD ST
TUPELO, MS
ZIP 38801
Phone: (662) 377-6290
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ACCENT PLASTIC & RECONSTRUCTIVE SURGERY is a plastic surgery in Tupelo, MS. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. ACCENT PLASTIC & RECONSTRUCTIVE SURGERY NPI is 1215048939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

607 GARFIELD ST
TUPELO, MS
ZIP 38801-337
Phone: (662) 377-6290
Fax: (662) 377-6295

The provider's authorized official is Mark Craig .
The authorized official title is Md and has the following contact phone number (662) 377-6290.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/1/2011.


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
1208200000XPlastic 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
100112173MEDICAIDMISSISSIPPI
2240000097MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
3512G700031OTHERMISSISSIPPIMEDICARE GROUP
4512I240008OTHERMISSISSIPPIMEDICARE PTAN
5F62573MEDICARE UPINMISSISSIPPI

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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