Golden Isles Center for Plastic Surgery, P.c.

NPI #1568638864 in St Simons Island, Georgia

Provider Information

NPI Number: 1568638864
Entity Type: Organization
Organization Name: Golden Isles Center for Plastic Surgery, P.c.
Primary Specialty: Plastic Surgery
Enumeration Date: May 6, 2008
Last Updated: Mar 22, 2012

Practice Location

Address: 1015 ARTHUR J MOORE DR
City: St Simons Island
State: Georgia
ZIP Code: 31522-2206
Phone: (912) 634-1993

Authorized Official

Name: DR. DIANE BOWEN, M.D.
Title: PRESIDENT
Phone: (912) 634-1993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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