Organization
WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC
Active
Other names
Day Surgery & Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KLANCY LAUREN OWENS (PRACTICE MANAGER)
(706) 278-2700
Entity
Organization
Contact information
Practice address
1506 PROFESSIONAL COURT, DALTON, GA 30720
(706) 278-2700
(706) 278-3444
Mailing address
1506 PROFESSIONAL COURT, DALTON, GA 30720
(706) 278-2700
(706) 278-3444
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASTC001175
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00186938
RAILROAD MEDICARE
GA
Enumeration date
11/30/2005
Last updated
11/30/2012
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