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Tupelo Plastic Surgery Clinic of Tupelo PA

Plastic Surgery Physician in Tupelo, MS · enumerated 2006 · authorized official Robert Buckley, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649381104

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Registry record

Entity type Organization (Type 2)
Legal business name Tupelo Plastic Surgery Clinic of Tupelo PA
Practice address 4381 S Eason Blvd Ste 101, Longtown Medical Park, Tupelo, MS, 38801
Fax (662) 377-6635
Enumeration date Aug 31, 2006
Last updated in NPPES Feb 29, 2008

Taxonomy & classification

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Buckley
Title MD

Other identifiers

Identifier Type State Issuer
00110707 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Tupelo Plastic Surgery Clinic of Tupelo PA located?
The practice location on file with NPPES is in Tupelo, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-29. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-29.