WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC
Surgery Yellow Pages
Dalton, Georgia
Provider NPI: 1699759035
Organization Information:Organization Name: WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC
Practice Location:
1506 PROFESSIONAL COURT DALTON, GA 30720 US
Tel: 706-278-2700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1506 PROFESSIONAL COURT DALTON, GA 30720 US
Tel: 706-278-2700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | GA | ASTC001175 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | P00186938 | GA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin