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GEORGIA PLASTIC SURGERY SPECIALISTS PC NPI 1720263742


NPI Information

NPI: 1720263742
Provider Name: GEORGIA PLASTIC SURGERY SPECIALISTS PC

Doing Business As: ATLANTIC CENTER FOR PLASTIC & COSMETIC SURGERY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3855 PLEASANT HILL RD
SUITE 460
DULUTH, GA
ZIP 30096
Phone: (770) 418-1234
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GEORGIA PLASTIC SURGERY SPECIALISTS PC is a specialist in Duluth, GA. 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. GEORGIA PLASTIC SURGERY SPECIALISTS PC NPI is 1720263742. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atlantic Center For Plastic & Cosmetic Surgery.

The provider's business location address is:

3855 PLEASANT HILL RD
SUITE 460
DULUTH, GA
ZIP 30096-407
Phone: (770) 418-1234
Fax: (770) 817-1110

The provider's authorized official is Robert Morgan Davoudi .
The authorized official title is President and has the following contact phone number (770) 418-1234.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 6/23/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist045060GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP7519MEDICARE PINGEORGIA

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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