ALBANY REGIONAL PLASTIC SURGERY PC NPI 1174608376

NPI Information

ALBANY REGIONAL PLASTIC SURGERY PC is a specialist in Albany, 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. ALBANY REGIONAL PLASTIC SURGERY PC NPI is 1174608376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2101 PALMYRA RD
ALBANY, GA
ZIP 31701-319
Phone: (229) 889-1021
Fax: (229) 889-1521

The provider's authorized official is Stanley James Moye .
The authorized official title is President and has the following contact phone number (229) 889-1021.

The CLIA number assigned to this NPI record is 11D2107848 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 7/28/2021.

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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