Organization
NORTHEAST GEORGIA PLASTIC SURGERY ASSOCIATES, PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL W. RICHWINE JR. M. D. (MEDICAL DIRECTOR)
(770) 534-1856
Entity
Organization
Contact information
Practice address
1296 SIMS ST, SUITE B, GAINESVILLE, GA 30501-3850
(770) 534-1856
(770) 531-0355
Mailing address
1296 SIMS ST, SUITE B, GAINESVILLE, GA 30501-3850
(770) 534-1856
(770) 531-0355
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
069-037
GA
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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