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COMPLETE LASER CLINIC OF ATLANTA NPI 1053768309


NPI Information

NPI: 1053768309
Provider Name: COMPLETE LASER CLINIC OF ATLANTA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
4751 BEST RD
SUITE 400Q
ATLANTA, GA
ZIP 30337
Phone: (678) 515-4607
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COMPLETE LASER CLINIC OF ATLANTA is a plastic and reconstructive surgery surgery in Atlanta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. COMPLETE LASER CLINIC OF ATLANTA NPI is 1053768309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4751 BEST RD
SUITE 400Q
ATLANTA, GA
ZIP 30337-615
Phone: (678) 515-4607
Fax: (470) 355-8524

The provider's authorized official is Anishua M Roberts .
The authorized official title is Manager and has the following contact phone number (678) 515-4607.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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: 4/28/2024

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