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GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY NPI 1447580790


NPI Information

NPI: 1447580790
Provider Name: GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 11D2069280

Address:
2285 ASQUITH AVE SW
SUITE 200
MARIETTA, GA
ZIP 30008
Phone: (770) 485-1554
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GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY is a plastic surgery in Marietta, 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. GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY NPI is 1447580790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2285 ASQUITH AVE SW
SUITE 200
MARIETTA, GA
ZIP 30008-008
Phone: (770) 485-1554

The provider's authorized official is Stanley Okoro .
The authorized official title is Ceo and has the following contact phone number (770) 485-1554.

The CLIA number assigned to this NPI record is 11D2069280 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2010 and was last updated on 11/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery044295GEORGIAYes

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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