National Provider Identifier Database

PREMIER PLASTIC SURGERY ASSOCIATES LLC
Plastic and Reconstructive Surgery


Contact Information

PREMIER PLASTIC SURGERY ASSOCIATES, LLC
2675 N DECATUR RD
SUITE 501
DECATUR, GA30033-6131
Phone: 404-292-4585
Fax: 404-292-4588
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for PREMIER PLASTIC SURGERY ASSOCIATES, LLC

NPI Number 1831360296
Legal business name
LBN
PREMIER PLASTIC SURGERY ASSOCIATES, LLC
Authorized official VIKISHA FRIPP - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/13/2008
Last updated 03/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 057460

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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