Organization
DALTON PLASTIC SURGERY
Active
Parent organization
DALTON PLASTIC SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DALTON PLASTIC SURGERY CENTER
Authorized official
CAROL SMITH (INS CLERK)
(706) 226-3311
Entity
Organization
Contact information
Practice address
1501 BROADRICK DR STE 1, DALTON, GA 30720-3014
(706) 226-3311
(706) 275-8723
Mailing address
1501 BROADRICK DR STE 1, DALTON, GA 30720-3014
(706) 226-3311
(706) 275-8723
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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