National Provider Identifier Database

THE GEORGIA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY PC
Plastic and Reconstructive Surgery


Contact Information

THE GEORGIA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY, PC
6326 PEAKE RD
MACON, GA31210-3960
Phone: 478-254-6608
Fax: 478-254-6689
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for THE GEORGIA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY, PC

NPI Number 1760786024
Legal business name
LBN
THE GEORGIA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY, PC
Authorized official JOSHUA GROVES - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 12/30/2010
Last updated 09/25/2020 - 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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