Organization · Type 2 NPI
Southeastern Reconstructive Services LLC
Plastic and Reconstructive Surgery Physician · Savannah, GA
NPI number
1871901009
Active
Practice location
5205 Frederick St Ste B
Savannah, GA 31405-4520
Fax (912) 354-5019
Mailing address
PO Box 15878
Savannah, GA 31416-2578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 22651 (LA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Other plastic and reconstructive surgery physician providers in Savannah
About NPI 1871901009
Southeastern Reconstructive Services LLC's National Provider Identifier is 1871901009, issued on Jul 31, 2014. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Savannah, GA. The record was last updated on Jul 31, 2014.