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STATESBORO PLASTIC SURGERY NPI 1982854568


NPI Information

NPI: 1982854568
Provider Name: STATESBORO PLASTIC SURGERY
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1402 BRAMPTON AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 681-3330
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STATESBORO PLASTIC SURGERY is a plastic surgery in Statesboro, GA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. STATESBORO PLASTIC SURGERY NPI is 1982854568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1402 BRAMPTON AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 681-3330
Fax: (912) 681-3303

The provider's authorized official is Mark E Bisseck .
The authorized official title is Physician/owner and has the following contact phone number (912) 681-3330.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 10/16/2012.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery061556GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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