Organization
PREMIER IMAGE COSMETIC & LASER SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTE HAMES (PRACTICE ADMINISTRATOR)
(770) 457-6303
Entity
Organization
Contact information
Practice address
4553 N SHALLOWFORD ROAD, 20B, ATLANTA, GA 30338
(770) 457-6303
(770) 457-2823
Mailing address
4553 N SHALLOWFORD ROAD, 20B, ATLANTA, GA 30338
(770) 457-6303
(770) 457-2823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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