Center for Reconstructive Surgery

NPI #1720023500 in Jonesboro, Georgia

Provider Information

NPI Number: 1720023500
Entity Type: Organization
Organization Name: Center for Reconstructive Surgery
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Jun 17, 2006
Last Updated: Aug 10, 2007

Practice Location

Address: 7130 MOUNT ZION BLVD
Address 2: SUITE 14
City: Jonesboro
State: Georgia
ZIP Code: 30236-2518
Phone: (770) 716-8732

Authorized Official

Name: DR. GREGORY ALVAREZ, DPM
Title: VICE-PRESIDENT
Phone: (770) 487-6716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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