# PLASTIC SURGERY ASSOCIATES OF VALDOSTA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356521595
- **Authorized official:** DENYSE PIERCE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (229) 242-3002

## Contact information

- **Practice address:** 230 NORTHSIDE DR, VALDOSTA, GA 31602-1858
- **Practice address phone:** (229) 242-3002
- **Practice address fax:** (229) 242-0644
- **Mailing address:** 230 NORTHSIDE DR, VALDOSTA, GA 31602-1858
- **Mailing address phone:** (229) 242-3002
- **Mailing address fax:** (229) 242-0644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2007
- **Last updated:** 11/05/2007