PREMIER IMAGE COSMETIC & LASER SURGERY NPI 1457563447

NPI Information

PREMIER IMAGE COSMETIC & LASER SURGERY is a specialist in Atlanta, 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. PREMIER IMAGE COSMETIC & LASER SURGERY NPI is 1457563447. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4553 N SHALLOWFORD ROAD
20B
ATLANTA, GA
ZIP 30338
Phone: (770) 457-6303
Fax: (770) 457-2823

The provider's authorized official is Jeanette Hames .
The authorized official title is Practice Administrator and has the following contact phone number (770) 457-6303.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.

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:

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