National Provider Identifier Database

PLASTIC SURGERY ASSOCIATES OF VALDOSTA
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

PLASTIC SURGERY ASSOCIATES OF VALDOSTA
230 NORTHSIDE DR
VALDOSTA, GA31602-1858
Phone: 229-242-3002
Fax: 229-242-0644
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for PLASTIC SURGERY ASSOCIATES OF VALDOSTA

NPI Number 1356521595
Legal business name
LBN
PLASTIC SURGERY ASSOCIATES OF VALDOSTA
Authorized official DENYSE PIERCE - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/05/2007
Last updated 11/05/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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