Plastic Surgery Center of the South

NPI #1295885465 in Marietta, Georgia

Provider Information

NPI Number
1295885465
Entity Type
Organization
Organization Name
Plastic Surgery Center of the South
Primary Specialty
Clinic/Center
Enumeration Date
Jan 11, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
120 VANN ST NE
Address 2
SUITE 150
State
Georgia
ZIP Code
30060-7250
Phone
(772) 421-1242

Authorized Official

Name
DR. JAMES EDGAR LEAKE, M.D.
Title
MEDICAL DIRECTOR
Phone
(770) 421-1242

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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