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Contact Information

CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC
1048 ASHLEY ST STE 303
BOWLING GREEN, KY42103-2451
 Phone: 270-796-8960
 Fax: 270-842-5683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC

NPI # 1710084827
LBN Legal business name CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC
Authorized official FOUAD ATALLA - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 10/07/2020 - About 6 years ago
Identifiers
KY License # 33744
KY Medicaid 65903460
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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