Southeastern Reconstructive Services LLC

NPI #1871901009 in Savannah, Georgia

Provider Information

NPI Number: 1871901009
Entity Type: Organization
Organization Name: Southeastern Reconstructive Services LLC
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Jul 31, 2014
Last Updated: Jul 31, 2014

Practice Location

Address: 5205 FREDERICK ST STE B
City: Savannah
State: Georgia
ZIP Code: 31405-4520
Phone: (912) 354-4969

Authorized Official

Name: LORI WECHSLER
Title: BILLING
Phone: (912) 354-4969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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