Plastic Surgery Operative Suite, LLC

NPI #1316121429 in Valdosta, Georgia

Provider Information

NPI Number
1316121429
Entity Type
Organization
Organization Name
Plastic Surgery Operative Suite, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 26, 2007
Last Updated
May 5, 2015

Practice Location

Address
230 NORTHSIDE DR
State
Georgia
ZIP Code
31602-1858
Phone
(229) 242-3002

Authorized Official

Name
MANDY PARKS
Title
PRACTICE ADMINISTRATOR
Phone
(229) 242-3002

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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