DR. DAVID MODLIN M.D. NPI 1558714139

NPI Information

  • NPI: 1558714139
  • Provider Name: DR. DAVID MODLIN, M.D.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • Address: 300 EAST HOSPITAL ROAD
    PLASTIC SURGERY, DDEAMC
    FORT GORDON, GA
    ZIP 30905
  • Phone: (706) 787-2567

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NPI Details

DR. David Modlin, M.D. is a plastic surgery in Fort Gordon, 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. DR. David Modlin, M.D. NPI is 1558714139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 EAST HOSPITAL ROAD
PLASTIC SURGERY, DDEAMC
FORT GORDON, GA
ZIP 30905-650
Phone: (706) 787-2567
Fax: (706) 787-2347

The enumeration date for this NPI number is 7/19/2016 and was last updated on 10/17/2025.

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
1208200000XPlastic Surgery079834GEORGIAYes

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: 11/21/2025

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