Blevins, Phillip

Blevins, Phillip is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Blevins, Phillip can be contacted via phone (601) 984-5180.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5180
Fax: (601) 984-5183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 07405 Mississippi
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 07405 Mississippi
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 07405 Mississippi

Profile Details

NPI number 1619907045
LBN Legal business name Blevins, Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619907045 NPPES
Mississippi MEDICAID 00012332

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