Organization
PREMIER PLASTIC SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKISHA FRIPP MD (OWNER)
(404) 292-4585
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE 501, DECATUR, GA 30033-6131
(404) 292-4585
(404) 292-4588
Mailing address
2675 N DECATUR RD, SUITE 501, DECATUR, GA 30033-6131
(404) 292-4585
(404) 292-4588
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
057460
GA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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