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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SAVANNAH RIVER PLASTIC SURGERY

NPI Number 1801133699
LBN Legal business name SAVANNAH RIVER PLASTIC SURGERY
Authorized official BILLY LYNN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2013
Last updated 03/16/2022 - About 4 years ago
Identifiers
GA License # 024290
GA Medicaid 000445717A
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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