PLASTIC SURGERY OF GWINNETT PC NPI 1386995470

NPI Information

PLASTIC SURGERY OF GWINNETT PC is a specialist in Lawrenceville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PLASTIC SURGERY OF GWINNETT PC NPI is 1386995470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 MEDICAL CENTER BLVD
SUITE 150
LAWRENCEVILLE, GA
ZIP 30046-708
Phone: (770) 682-3375
Fax: (770) 682-3387

The provider's authorized official is Alvin I Rosenthal .
The authorized official title is President and has the following contact phone number (770) 682-3375.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 9/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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