Organization · Type 2 NPI
The Georgia Center for Facial Plastic Surgery and Laser Aesthetics
Clinic/Center · Evans, GA
NPI number
1811167018
Active
Practice location
613 Ponder Place Dr
Evans, GA 30809-3187
Fax (706) 210-9882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 052694 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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- The Georgia Center for Dermatology and Skin Cancer SpecialistsClinic/Center Evans, GA NPI 1669642948
About NPI 1811167018
The Georgia Center for Facial Plastic Surgery and Laser Aesthetics's National Provider Identifier is 1811167018, issued on Mar 4, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Evans, GA. The record was last updated on Mar 4, 2008.