Organization
FACESFIRST,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH G WHITAKER MD (SOLE OWNER)
(678) 392-6808
Entity
Organization
Contact information
Practice address
1741 PATRIOTS WAY NW, KENNESAW, GA 30152-4859
(678) 392-6808
Mailing address
1741 PATRIOTS WAY NW, KENNESAW, GA 30152-4859
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
41239
GA
Other
Enumeration date
03/15/2009
Last updated
03/15/2009
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