Organization · Type 2 NPI
Fayette Plasticsurgery Center LLC
Ambulatory Surgical Clinic/Center · Fayetteville, GA
NPI number
1639416365
Active
Practice location
874 Lanier Ave W, Suite 100
Fayetteville, GA 30214-7662
Fax (770) 603-7040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 12056659 (GA) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
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- Resurgens Fayette Surgery Center, LLCAmbulatory Surgical Clinic/Center Fayetteville, GA NPI 1396298139
- Summit Endoscopy CenterAmbulatory Surgical Clinic/Center Fayetteville, GA NPI 1427052026
- Ortho Atlanta Surgery Center of FayettevilleAmbulatory Surgical Clinic/Center Fayetteville, GA NPI 1447630876
- Orthoatlanta Surgery Center of Fayetteville, LLCAmbulatory Surgical Clinic/Center Fayetteville, GA NPI 1609815075
- RSPS Fayetteville Asc LLCAmbulatory Surgical Clinic/Center Fayetteville, GA NPI 1750905618
- Advanced Aesthetics PCAmbulatory Surgical Clinic/Center Fayetteville, GA NPI 1962441709
About NPI 1639416365
Fayette Plasticsurgery Center LLC's National Provider Identifier is 1639416365, issued on Jan 15, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 15, 2013.