Organization
THE PLASTIC SURGERY CENTER LAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J GRECO MD (CEO)
(912) 355-8000
Entity
Organization
Contact information
Practice address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(912) 355-8000
(912) 355-8403
Mailing address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(912) 355-8000
(912) 355-8403
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00735061A
—
GA
Enumeration date
07/20/2005
Last updated
06/08/2011
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