WEST GEORGIA CENTER FOR PLASTIC SURGERY, LLC
Surgery Yellow Pages
Carrollton, Georgia
Provider NPI: 1952391591
Organization Information:Organization Name: WEST GEORGIA CENTER FOR PLASTIC SURGERY, LLC
Practice Location:
150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117 US
Tel: 770-834-6302 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:
150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117 US
Tel: 770-834-6302 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 | 030330 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
COMMERCIAL INS./AMERIHEAL | R566 | GA | 01 |
AETNA | 0007430251 | GA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin