Bespoke Aesthetics and Plastic Surgery

NPI #1417783317 in Madison, Mississippi

Provider Information

NPI Number: 1417783317
Entity Type: Organization
Organization Name: Bespoke Aesthetics and Plastic Surgery
Primary Specialty: Plastic Surgery
Enumeration Date: Sep 9, 2024
Last Updated: Oct 30, 2025

Practice Location

Address: 161 MONTGOMERY ST STE C
City: Madison
State: Mississippi
ZIP Code: 39110-1119
Phone: (601) 987-6581

Authorized Official

Name: ERICA BASS, MD
Title: OWNER
Phone: (601) 987-6581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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