Allure Plastics, P.a.

Organization Active NPI Plastic Surgery Physician · Ridgeland, MS

NPI 1013323765 · NPPES record last updated Jul 3, 2014

Key facts

NPI
1013323765
Entity type
Organization (NPI type 2)
Primary specialty
Plastic Surgery Physician 208200000X
License
21164 (MS)
Legal business name
ALLURE PLASTICS, P.A.
Practice address
1000 Highland Colony Pkwy
Suite 27202
Ridgeland, MS 39157-2073
Phone
(769) 300-2946
Fax
(769) 300-2953
NPI assigned
Jul 2, 2014
Organization subpart
No

Authorized official

Name
Dr. William Bryant Walker, M.D.
Title
Owner
Phone
(601) 874-2636

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

8 Woodstone Plz
Ste 101
Hattiesburg, MS 39402

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208200000X 21164 MS Yes

Addresses

Primary practice location

1000 Highland Colony Pkwy
Suite 27202
Ridgeland, MS 39157-2073

Mailing address

1000 Highland Colony Pkwy
Suite 27202
Ridgeland, MS 39157-2073
Phone (769) 300-2946

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 3, 2014.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1013323765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 27202",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "769-300-2946",
            "fax_number": "769-300-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 27202",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "769-300-2946",
            "fax_number": "769-300-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE PLASTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-874-2636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "21164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Plastic Surgery Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.