National Provider Identifier Database

SAVANNAH RIVER PLASTIC SURGERY
Plastic and Reconstructive Surgery


Contact Information

SAVANNAH RIVER PLASTIC SURGERY
820 ST. SEBASTIAN WAY
SUITE 1A
AUGUSTA, GA30901-2635
Phone: 706-651-8400
Fax: 706-651-8868
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for SAVANNAH RIVER PLASTIC SURGERY

NPI Number 1801133699
Legal business name
LBN
SAVANNAH RIVER PLASTIC SURGERY
Authorized official BILLY LYNN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/14/2013
Last updated 03/16/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 024290
  • GA Medicaid: 000445717A

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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