OrganizationActive
Tupelo Plastic Surgery Clinic of Tupelo PA
NPI 1649381104 · Plastic Surgery Physician · Tupelo, MS
Provider details
- NPI number
- 1649381104
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Buckley, MD(662) 377-6630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4381 S Eason Blvd Ste 101
Longtown Medical Park
Tupelo, MS 38801-6586
Phone: (662) 377-6630
Fax: (662) 377-6635
Approximate (ZIP-level) locationGet directions
Mailing address
450 E President Ave
Tupelo, MS 38801-5599
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.