National Provider Identifier Database

SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC
Plastic and Reconstructive Surgery


Contact Information

SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC
5205 FREDERICK ST STE B
SAVANNAH, GA31405-4520
Phone: 912-354-4969
Fax: 912-354-5019
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC

NPI Number 1871901009
Legal business name
LBN
SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC
Authorized official LORI WECHSLER - (BILLING)
Entity Organization
Organization subpart No
Enumeration date 07/31/2014
Last updated 07/31/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 22651

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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