Organization
BUCKHEAD FACIAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA JARMUZ (OWNER)
(404) 233-3937
Entity
Organization
Contact information
Practice address
1218 W PACES FERRY RD NW, SUITE 108, ATLANTA, GA 30327-2308
(404) 233-3937
Mailing address
1218 W PACES FERRY RD NW, SUITE 108, ATLANTA, GA 30327-2308
(404) 233-3937
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
047775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093763021
EMPLOYER NPI NUMBER
GA
Enumeration date
03/13/2007
Last updated
08/22/2020
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