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Plastic Surgery Of Gwinnett Pc
Specialist in Lawrenceville, Georgia
NPI 1386995470

Plastic Surgery Of Gwinnett Pc is a Specialist based in Lawrenceville, GA. Plastic Surgery Of Gwinnett Pc practices in Lawrenceville, GA. The NPI Number for Plastic Surgery Of Gwinnett Pc is 1386995470 and holds a License No. 039926 (Georgia).

The current practice location address for Plastic Surgery Of Gwinnett Pc is 575 Professional Dr Ste 285, Lawrenceville, GA and can be reached out via phone at 770-682-3375 and via fax at 770-682-3387.

Location: 575 Professional Dr Ste 285, Lawrenceville, GA, 30046-3355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386995470
Provider Name
Plastic Surgery Of Gwinnett Pc
Credential
Provider Entity Type
Organization
Address
575 Professional Dr Ste 285, Lawrenceville, GA, 30046-3355
Phone Number
770-682-3375
Fax Number
770-682-3387
Provider Enumeration Date
09/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40BBBBD 01 PTAN
institution
Provider Business Practice Location Address Details
Address
575 Professional Dr Ste 285
City
Lawrenceville
State
Georgia
Zip
30046-3355
Phone Number
770-682-3375
Fax Number
770-682-3387
person
Provider Business Mailing Address Details
Address
575 Professional Dr Ste 285
City
Lawrenceville
State
Georgia
Zip
30046-3355
Phone Number
770-682-3375
Fax Number
770-682-3387
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
039926 (Georgia)
Definition
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.
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