Organization
AESTHETIC PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY EUGENE DAWSON JR. M.D. (OWNER/PRESIDENT)
(706) 291-0200
Entity
Organization
Contact information
Practice address
506 RIVERSIDE PKWY NE STE 200, ROME, GA 30161-2902
(706) 291-0200
(706) 291-0248
Mailing address
506 RIVERSIDE PKWY NE STE 200, ROME, GA 30161-2902
(706) 291-0200
(706) 291-0248
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000194048B
—
GA
Enumeration date
04/25/2011
Last updated
04/25/2011
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