institution
Fayette Plasticsurgery Center Llc
Ambulatory Surgical Clinic/Center in Fayetteville, Georgia
NPI 1639416365

Fayette Plasticsurgery Center Llc is an Ambulatory Surgical Clinic/Center based in Fayetteville, GA and is specialized in Ambulatory Surgical. Fayette Plasticsurgery Center Llc practices in Fayetteville, GA. The NPI Number for Fayette Plasticsurgery Center Llc is 1639416365 and holds a License No. 12056659 (Georgia).

The current practice location address for Fayette Plasticsurgery Center Llc is 874 Lanier Ave W, Fayetteville, GA and can be reached out via phone at 770-461-4000 and via fax at 770-603-7040. You can also correspond with Fayette Plasticsurgery Center Llc through the mailing address at 874 LANIER AVE W, FAYETTEVILLE, GA - 30214-7662 (mailing address contact number: 770-461-4000).

Location: 874 Lanier Ave W, Fayetteville, GA, 30214-7662
institution
Provider Profile Details
NPI Number
1639416365
Provider Name
Fayette Plasticsurgery Center Llc
Credential
Provider Entity Type
Organization
Address
874 Lanier Ave W, Fayetteville, GA, 30214-7662
Phone Number
770-461-4000
Fax Number
770-603-7040
Provider Enumeration Date
01/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
874 Lanier Ave W
City
State
Zip
30214-7662
Phone Number
770-461-4000
Fax Number
770-603-7040
person
Provider Business Mailing Address Details
Address
874 Lanier Ave W
City
State
Zip
30214-7662
Phone Number
770-461-4000
Fax Number
770-603-7040
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
12056659 (Georgia)
Definition
Definition to come...
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