West Side Plastic Surgery, Inc in Smyrna - Plastic And Reconstructive Surgery
West Side Plastic Surgery, Inc - NPI 1730380775
West Side Plastic Surgery, Inc is a Plastic And Reconstructive Surgery in Smyrna, Georgia. West Side Plastic Surgery, Inc practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for West Side Plastic Surgery, Inc is 1730380775. The last update date is 2011-04-11.
West Side Plastic Surgery, Inc'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 West Side Plastic Surgery, Inc is 4480 S Cobb Dr Se Ste H, Smyrna, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Side Plastic Surgery, Inc |
|---|---|
| Address | 4480 S Cobb Dr Se Ste H, Smyrna, Georgia |
| Phone Number | 4048055535 |
| Fax Number | 8669355995 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gipson A Vetra |
| Credentials | M.D. |
| Telephone Number | 4048050646 |
NPI Number Detail
| NPI Number | 1730380775 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2011-04-11 |
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 And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 50518 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000963102B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to West Side Plastic Surgery, Inc by the Centers for Medicare & Medicaid Services?
The West Side Plastic Surgery, Inc has been issued the NPI (National Provider Identifier) 1730380775 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of West Side Plastic Surgery, Inc?
The West Side Plastic Surgery, Inc is physically situated at 4480 S Cobb Dr Se Ste H, in the city of Smyrna, state of GA, with the postal code 300806984.
What is West Side Plastic Surgery, Inc's area of expertise and its corresponding taxonomy classification?
The West Side Plastic Surgery, Inc's field of specialization is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1730380775 assigned to West Side Plastic Surgery, Inc?
The West Side Plastic Surgery, Inc was issued its 1730380775 on 2007-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to West Side Plastic Surgery, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to West Side Plastic Surgery, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-11.