PLASTIC SURGERY SPECIALIST LLC NPI 1881178903

NPI Information

  • NPI: 1881178903
  • Provider Name: PLASTIC SURGERY SPECIALIST LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 2795 PEACHTREE RD NE UNIT 309
    ATLANTA, GA
    ZIP 30305
  • Phone: (631) 827-8159

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NPI Details

PLASTIC SURGERY SPECIALIST LLC is a plastic surgery in Atlanta, 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. PLASTIC SURGERY SPECIALIST LLC NPI is 1881178903. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2795 PEACHTREE RD NE UNIT 309
ATLANTA, GA
ZIP 30305-672
Phone: (631) 827-8159

The provider's authorized official is Mathew James .
The authorized official title is Patient Accounts and has the following contact phone number (631) 827-8159.

The enumeration date for this NPI number is 9/25/2018 and was last updated on 9/25/2018.

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 SurgeryYes

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This page was last updated on: 3/30/2025

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