Organization · Type 2 NPI
Plastic Surgery of Gwinnett PC
Specialist · Lawrenceville, GA
NPI number
1386995470
Active
Practice location
575 Professional Dr Ste 285
Lawrenceville, GA 30046-3355
Fax (770) 682-3387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 039926 (GA) |
Specialist: 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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About NPI 1386995470
Plastic Surgery of Gwinnett PC's National Provider Identifier is 1386995470, issued on Sep 28, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 30, 2024.