PREMIER PLASTIC SURGERY ASSOCIATES LLC NPI 1831360296

NPI Information

PREMIER PLASTIC SURGERY ASSOCIATES, LLC is a plastic and reconstructive surgery surgery in Decatur, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PREMIER PLASTIC SURGERY ASSOCIATES, LLC NPI is 1831360296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2675 N DECATUR RD
SUITE 501
DECATUR, GA
ZIP 30033-131
Phone: (404) 292-4585
Fax: (404) 292-4588

The provider's authorized official is Vikisha Fripp .
The authorized official title is Owner and has the following contact phone number (404) 292-4585.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

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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