IndividualActive
Phillip Blevins, M.D.
NPI 1619907045 · Plastic Surgery Physician · Jackson, MS
Provider details
- NPI number
- 1619907045
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 07405 (MS)
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5180
Fax: (601) 984-5183
Mailing address
Po Box 24146
Jackson, MS 39225-4146
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2012-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.