Organization · Type 2 NPI

Premier Image Cosmetic & Laser Surgery

Specialist · Atlanta, GA

NPI number 1457563447 Active

Practice location

4553 N Shallowford Road, 20B
Atlanta, GA 30338

Call (770) 457-6303 Map

Fax (770) 457-2823

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1457563447

Premier Image Cosmetic & Laser Surgery's National Provider Identifier is 1457563447, issued on May 4, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 22, 2020.