Organization
CSRA PLASTIC SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CRANDALL MD (PRESIDENT)
(706) 736-1830
Entity
Organization
Contact information
Practice address
1303 DANTIGNAC ST STE 1000, AUGUSTA, GA 30901-2776
(706) 736-1830
Mailing address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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