Organization
PRIMA CENTER FOR PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP H NAKANO MD (DOCTOR)
(770) 495-1477
Entity
Organization
Contact information
Practice address
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-7918
(770) 495-1477
(770) 495-1488
Mailing address
3096 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-7918
(770) 495-1477
(770) 495-1488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55001192A
—
GA
Enumeration date
02/02/2007
Last updated
03/13/2013
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