Organization
SOUTHEASTERN RECONSTRUCTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WECHSLER (BILLING)
(912) 354-4969
Entity
Organization
Contact information
Practice address
5205 FREDERICK ST STE B, SAVANNAH, GA 31405-4520
(912) 354-4969
(912) 354-5019
Mailing address
PO BOX 15878, SAVANNAH, GA 31416-2578
(912) 354-4969
(912) 354-5019
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
22651
LA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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