PLASTIC SURGERY CLINIC PLLC NPI 1508903931

NPI Information

PLASTIC SURGERY CLINIC, PLLC is a specialist in Franklin, TN. 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. PLASTIC SURGERY CLINIC, PLLC NPI is 1508903931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1909 MALLORY LN
FRANKLIN, TN
ZIP 37067-830
Phone: (615) 771-7718
Fax: (615) 771-6889

The provider's authorized official is John Reagan Moore .
The authorized official title is Sole Properitor and has the following contact phone number (615) 771-7718.

The CLIA number assigned to this NPI record is 44D2152312 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 12/8/2008.

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:

Other Identifiers

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