Individual provider · Type 1 NPI
Georgette Anthony
Plastic and Reconstructive Surgery Physician · Acworth, GA
NPI number
1245458660
Active
Practice location
5116 Verbena Dr NW
Acworth, GA 30102-6923
Fax (770) 926-6510
Mailing address
5116 Verbena Dr
Acworth, GA 30102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 581945565 (GA) |
| Surgical Physician Assistant | 363AS0400X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
About NPI 1245458660
Georgette Anthony's National Provider Identifier is 1245458660, issued on Apr 23, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Acworth, GA. The record was last updated on Oct 4, 2013.