National Provider Identifier Database

CELEBRITY BODY SCULPTING AND COSMETIC SURGERY CENTER
Plastic and Reconstructive Surgery


Contact Information

CELEBRITY BODY SCULPTING AND COSMETIC SURGERY CENTER
4550 JONESBORO RD
SUITE K
UNION CITY, GA30291-2050
Phone: 678-515-4607
Fax: 470-355-8524
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for CELEBRITY BODY SCULPTING AND COSMETIC SURGERY CENTER

NPI Number 1710337134
Legal business name
LBN
CELEBRITY BODY SCULPTING AND COSMETIC SURGERY CENTER
Authorized official ANISHUA ROBERTS - (OPERATIONS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/16/2016
Last updated 06/16/2016 - About 10 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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