Organization
THE CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY, P.C.
Active
Other names
THE CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DUFFEE RN (ASC DIRECTOR)
(706) 549-3203
Entity
Organization
Contact information
Practice address
3320 OLD JEFFERSON RD., BUILDING 100, ATHENS, GA 30607
(706) 353-3600
(706) 353-3777
Mailing address
3320 OLD JEFFERSON RD., BUILDING 100, ATHENS, GA 30607
(706) 353-3600
(706) 353-3777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
0683035
GA
261Q00000X
Clinic/Center
Primary
291-229
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158255400
ACS DEPT OF LABOR
GA
Enumeration date
09/16/2006
Last updated
08/27/2024
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