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NPI Profile for THE GEORGIA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY PC in MACON, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1760786024 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/30/2010 | |
| Last updated | 09/25/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THE GEORGIA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY, PC