Organization · Type 2 NPI
Southeastern Aesthetic and Reconstructive Surgery
Plastic and Reconstructive Surgery Physician · Newnan, GA
NPI number
1093255044
Active
Practice location
155 Greenville St
Newnan, GA 30263-2630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 65539 (GA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1093255044
Southeastern Aesthetic and Reconstructive Surgery's National Provider Identifier is 1093255044, issued on Feb 24, 2017. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Newnan, GA. The record was last updated on Feb 24, 2017.