Ophthalmic Plastic Surgery Specialists Pllc

NPI #1053410126 in Jackson, Mississippi

Provider Information

NPI Number: 1053410126
Entity Type: Organization
Organization Name: Ophthalmic Plastic Surgery Specialists Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Sep 22, 2006
Last Updated: Mar 24, 2010

Practice Location

Address: 1421 NORTH STATE ST
Address 2: STE 304
City: Jackson
State: Mississippi
ZIP Code: 39202
Phone: (601) 355-9537

Authorized Official

Name: MR. DAVID RONALD SEGREST, MD
Title: OWNER
Phone: (601) 355-9537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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