Organization
IMAGE PLASTIC SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADIRAN A AFOLABI-BROWN M.D. (OWNER)
(478) 745-7925
Entity
Organization
Contact information
Practice address
682 HEMLOCK ST, #410, MACON, GA 31201-6883
(478) 745-7925
(478) 745-7885
Mailing address
PO BOX 4207, MACON, GA 31208-4207
(478) 745-7925
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
GA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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