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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PREMIER PLASTIC SURGERY ASSOCIATES, LLC

NPI Number 1831360296
LBN Legal business name PREMIER PLASTIC SURGERY ASSOCIATES, LLC
Authorized official VIKISHA FRIPP - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2008
Last updated 03/13/2008 - About 18 years ago
Identifiers
GA License # 057460
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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