SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC NPI 1871901009

NPI Information

SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC is a plastic and reconstructive surgery surgery in Savannah, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC NPI is 1871901009. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5205 FREDERICK ST STE B
SAVANNAH, GA
ZIP 31405-520
Phone: (912) 354-4969
Fax: (912) 354-5019

The provider's authorized official is Lori Wechsler .
The authorized official title is Billing and has the following contact phone number (912) 354-4969.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 7/31/2014.

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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