Organization
CELEBRITY BODY SCULPTING AND COSMETIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISHUA M ROBERTS (OPERATIONS MANAGER)
(678) 515-4607
Entity
Organization
Contact information
Practice address
4550 JONESBORO RD, SUITE K, UNION CITY, GA 30291-2050
(678) 515-4607
(470) 355-8524
Mailing address
4550 JONESBORO RD, SUITE K, UNION CITY, GA 30291-2050
(678) 515-4607
(470) 355-8524
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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