MODERNA SURGICAL CENTER LLC NPI 1619862240

NPI Information

  • NPI: 1619862240
  • Provider Name: MODERNA SURGICAL CENTER, LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 12425 MORRIS RD STE B
    ALPHARETTA, GA
    ZIP 30005
  • Phone: (404) 255-2975

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NPI Details

MODERNA SURGICAL CENTER, LLC is a plastic and reconstructive surgery surgery in Alpharetta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. MODERNA SURGICAL CENTER, LLC NPI is 1619862240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12425 MORRIS RD STE B
ALPHARETTA, GA
ZIP 30005-137
Phone: (404) 255-2975

The provider's authorized official is Bahair Ghazi .
The authorized official title is Owner/ President and has the following contact phone number (404) 931-4915.

The enumeration date for this NPI number is 6/12/2025 and was last updated on 6/12/2025.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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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