| Organization Name: | PLASTIC SURGERY OF NORTH MS., PA |
| NPI Number: | 1023477841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS ALAN PRITCHARD (OWNER) |
| Mailing Address: | 4248 S Eason Blvd Ste B Tupelo |
| State: | MS US |
| Postal Code: | 388016549 |
| Phone Number: | 6628428949 |
| Fax Number: | 6628428995 |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 12950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |