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NPI Profile for AVENUE SURGICAL PARTNERS PC in ATHENS, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1932065372 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/30/2025 | |
| Last updated | 12/30/2025 - About 5 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AVENUE SURGICAL PARTNERS PC