Organization Name: | THE CLINIC OF PLASTIC SURGERY, P.A. |
NPI Number: | 1083798029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM O. B. THOMPSON (OWNER) |
Mailing Address: | 1421 North State St Suite 504 Jackson |
State: | MS US |
Postal Code: | 39202 |
Phone Number: | 6019699050 |
Fax Number: | 6013542443 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |