Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Plastic Surgery Center of Hattiesburg, PLLC

Organization Plastic Surgery Physician · NPI 1396895413

Plastic Surgery Center of Hattiesburg, PLLC provides Plastic Surgery Physician services in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone: (601) 296-3405
Fax: (601) 296-3409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 139170 (MS)
Plastic Surgery Physician Taxonomy 208200000X · Licence 15450 (MS)

Record details

NPI number1396895413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Talbot — Director · (601) 296-3405
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address40 Franklin Rd, Hattiesburg, MS 39402-1318

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