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

Plastic Surgery Clinic of Jackson, PC

Organization Specialist · NPI 1538363825

Plastic Surgery Clinic of Jackson, PC provides Specialist services in Jackson, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 Lynoak Cv
Jackson, TN 38305-2800 Not confirmed with CMS for 19 years — call before visiting
Phone: (731) 668-2490
Fax: (731) 664-4374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1538363825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marshall Yellen — Physician · (731) 668-2490
NPI enumeratedJune 12, 2007
Last updated in NPPESAugust 8, 2007
Mailing address10 Lynoak Cv, Jackson, TN 38305-2800

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