Benjamin C. McIntyre, M.D.

Plastic and Reconstructive Surgery Physician · Jackson, MS

Individual Active NPI

NPI number 1407067705

Practice location

2500 N State St
Dept of Surgery
Jackson, MS 39216-4500
Phone
(601) 984-5452
Fax
(601) 815-3322

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NPI record

NPI
1407067705
Entity type
Individual (Type 1)
Enumeration date
May 25, 2007
Last updated
October 4, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic and Reconstructive Surgery Physician Primary 2086S0122X 24236 MS
Plastic Surgery Physician 208200000X 32525 SC
Surgery Physician 208600000X 57007052 OH
Surgery Physician 208600000X 32525 SC
Plastic and Reconstructive Surgery Physician 2086S0122X 32525 SC

About Dr. McIntyre

Benjamin C. McIntyre, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 2500 N State St, Dept of Surgery, Jackson, MS 39216-4500. The NPI number 1407067705 was assigned on May 25, 2007 and the record was last updated on October 4, 2016.

Dr. McIntyre lists 5 licenses in the registry: #24236 (MS) for Plastic and Reconstructive Surgery Physician; #32525 (SC) for Plastic Surgery Physician; #57007052 (OH) for Surgery Physician; #32525 (SC) for Surgery Physician; #32525 (SC) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin C. McIntyre, M.D.?

The NPI number is 1407067705.

What is the phone number of Dr. McIntyre?

The phone number listed for the practice location is (601) 984-5452.

Where is Dr. McIntyre located?

2500 N State St, Dept of Surgery, Jackson, MS 39216-4500.

What is the taxonomy code for Dr. McIntyre?

The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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