Organization
GEORGIA BREAST SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-CLAUDE SCHWARTZ MD (OWNER)
(706) 613-5171
Entity
Organization
Contact information
Practice address
631 PROFESSIONAL DR, SUITE 240, LAWRENCEVILLE, GA 30046-3367
(706) 613-5171
(706) 613-2816
Mailing address
631 PROFESSIONAL DR, SUITE 240, LAWRENCEVILLE, GA 30046-3367
(706) 613-5171
(706) 613-2816
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
62768
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3447771288
—
GA
Enumeration date
06/26/2014
Last updated
08/13/2014
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