National Provider Identifier Database

IMAGE PLASTIC SURGERY CENTER INC
Plastic and Reconstructive Surgery


Contact Information

IMAGE PLASTIC SURGERY CENTER, INC
682 HEMLOCK ST
#410
MACON, GA31201-6883
Phone: 478-745-7925
Fax: 478-745-7885
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for IMAGE PLASTIC SURGERY CENTER, INC

NPI Number 1669539078
Legal business name
LBN
IMAGE PLASTIC SURGERY CENTER, INC
Authorized official OLADIRAN AFOLABI-BROWN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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