Dr. Evan J. Pickus, M.D.
Plastic Surgery in Carthage, MS. Individual provider (NPI-1).
NPI number1073545554
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1073545554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evan J. Pickus
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2006
- Certification date
- Dec 30, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 17806 | MS | Yes |
| 207P00000X | Emergency Medicine | 17806 | MS |
Practice location
310 Ellis StCarthage, MS 39051-3809
Phone 601-740-2785
Mailing address
6424 Central City Blvd Apt 534Galveston, TX 77551-8007
Phone 601-740-2785
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