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PLASTIC HEAD AND NECK SURGERY INSTITUTE NPI 1295288751


NPI Information

NPI: 1295288751
Provider Name: PLASTIC HEAD AND NECK SURGERY INSTITUTE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2119762

Address:
5730 GLENRIDGE DR STE T150
ATLANTA, GA
ZIP 30328
Phone: (404) 943-1111
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PLASTIC HEAD AND NECK SURGERY INSTITUTE is an ambulatory surgical clinic center in Atlanta, GA. PLASTIC HEAD AND NECK SURGERY INSTITUTE NPI is 1295288751. The provider is registered as an organization entity type.

The provider's business location address is:

5730 GLENRIDGE DR STE T150
ATLANTA, GA
ZIP 30328-872
Phone: (404) 943-1111
Fax: (404) 843-0478

The provider's authorized official is Pradeep Kumar Sinha .
The authorized official title is Medical Director and has the following contact phone number (404) 257-1589.

The CLIA number assigned to this NPI record is 11D2119762 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2016 and was last updated on 6/12/2019.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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