Vetra Anete Gipson in Smyrna - Plastic Surgery

Vetra Anete Gipson - NPI 1528068061

Vetra Anete Gipson is a Plastic Surgery in Smyrna, Georgia. Vetra Anete Gipson practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Vetra Anete Gipson is 1528068061. The last update date is 2011-11-28.

Vetra Anete Gipson's current location address is 4480 S Cobb Dr Se Ste H, Smyrna, Georgia. You can contact this provider via phone number 4048055535 and fax number 8669355995. The mailing address for Vetra Anete Gipson is 4480 S Cobb Dr Se Ste H, Smyrna, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Vetra Anete Gipson
Address 4480 S Cobb Dr Se Ste H, Smyrna, Georgia
Phone Number 4048055535
Fax Number 8669355995
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1528068061
Provider Enumeration Date 2005-07-27
Last Updated Date 2011-11-28

Provider Mailing Address Detail

Address 4480 S Cobb Dr Se Ste H
City Smyrna
State Georgia (GA)
Post Code 300806984
Phone Number 4048055535
Fax Number 8669355995

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 50518
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24BCBWK GA MEDICARE ID
00963102A GA --

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FAQs about Vetra Anete Gipson

What is the unique provider identifier assigned to Vetra Anete Gipson?

The Vetra Anete Gipson has been issued the NPI (National Provider Identifier) 1528068061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Vetra Anete Gipson is physically located?

The Vetra Anete Gipson is physically situated at the following address: 4480 S Cobb Dr Se Ste H, Smyrna, GA, 300806984.

What is Vetra Anete Gipson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Vetra Anete Gipson is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528068061 to Vetra Anete Gipson?

The Centers for Medicare & Medicaid Services originally issued the 1528068061 to Vetra Anete Gipson on 2005-07-27.

When was the information pertaining to Vetra Anete Gipson most recently updated or revised?

The details related to Vetra Anete Gipson, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-28.

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