PLASTIC SURGERY CENTER OF MERIDIAN LLC NPI 1790714525

NPI Information

PLASTIC SURGERY CENTER OF MERIDIAN, LLC is an ambulatory surgical clinic center in Meridian, MS. PLASTIC SURGERY CENTER OF MERIDIAN, LLC NPI is 1790714525. The provider is registered as an organization entity type.

The provider's business location address is:

5002 HWY 30 NORTH
BLDG. D
MERIDIAN, MS
ZIP 39301
Phone: (601) 481-7070

The provider's authorized official is Lee Thorton .
The authorized official title is Owner and has the following contact phone number (601) 481-7070.

The CLIA number assigned to this NPI record is 25D1039321 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 1/25/2011.

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:

Other Identifiers

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