institution
West Georgia Center For Plastic Surgery, Llc
Ambulatory Surgical Clinic/Center in Carrollton, Georgia
NPI 1952391591

West Georgia Center For Plastic Surgery, Llc is an Ambulatory Surgical Clinic/Center based in Carrollton, GA and is specialized in Ambulatory Surgical. West Georgia Center For Plastic Surgery, Llc practices in Carrollton, GA. The NPI Number for West Georgia Center For Plastic Surgery, Llc is 1952391591 and holds a License No. 030330 (Georgia).

The current practice location address for West Georgia Center For Plastic Surgery, Llc is 150 Henry Burson Ave, Carrollton, GA and can be reached out via phone at 770-834-6302 and via fax at 770-834-7660.

Location: 150 Henry Burson Ave, Carrollton, GA, 30117-4465
institution
Provider Profile Details
NPI Number
1952391591
Provider Name
West Georgia Center For Plastic Surgery, Llc
Credential
Provider Entity Type
Organization
Address
150 Henry Burson Ave, Carrollton, GA, 30117-4465
Phone Number
770-834-6302
Fax Number
770-834-7660
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R566 01 GA COMMERCIAL INS./AMERIHEAL
0007430251 01 GA AETNA
institution
Provider Business Practice Location Address Details
Address
150 Henry Burson Ave
City
State
Zip
30117-4465
Phone Number
770-834-6302
Fax Number
770-834-7660
person
Provider Business Mailing Address Details
Address
150 Henry Burson Ave
City
State
Zip
30117-4465
Phone Number
770-834-6302
Fax Number
770-834-7660
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
030330 (Georgia)
Definition
Definition to come...
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