West Georgia Center For Plastic Surgery, Llc in Carrollton - Ambulatory Surgical
West Georgia Center For Plastic Surgery, Llc - NPI 1952391591
West Georgia Center For Plastic Surgery, Llc is a Ambulatory Surgical in Carrollton, Georgia. West Georgia Center For Plastic Surgery, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for West Georgia Center For Plastic Surgery, Llc is 1952391591. The last update date is 2010-09-21.
West Georgia Center For Plastic Surgery, Llc's current location address is 150 Henry Burson Ave, Carrollton, Georgia. You can contact this provider via phone number 7708346302 and fax number 7708347660. The mailing address for West Georgia Center For Plastic Surgery, Llc is 150 Henry Burson Ave, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Georgia Center For Plastic Surgery, Llc |
|---|---|
| Address | 150 Henry Burson Ave, Carrollton, Georgia |
| Phone Number | 7708346302 |
| Fax Number | 7708347660 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRINCIPAL |
|---|---|
| Authorized Official Name | Kahler Housman Stephen |
| Credentials | M.D. |
| Telephone Number | 7708346302 |
NPI Number Detail
| NPI Number | 1952391591 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2010-09-21 |
Provider Mailing Address Detail
| Address | 150 Henry Burson Ave |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301174465 |
| Phone Number | 7708346302 |
| Fax Number | 7708347660 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 30330 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R566 | GA | COMMERCIAL INS./AMERIHEAL | |
| 7430251 | GA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to West Georgia Center For Plastic Surgery, Llc by the Centers for Medicare & Medicaid Services?
The West Georgia Center For Plastic Surgery, Llc has been issued the NPI (National Provider Identifier) 1952391591 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where West Georgia Center For Plastic Surgery, Llc is located?
The West Georgia Center For Plastic Surgery, Llc is situated at the following address: 150 Henry Burson Ave, Carrollton, GA, 301174465.
What is West Georgia Center For Plastic Surgery, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for West Georgia Center For Plastic Surgery, Llc is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
On what date did the West Georgia Center For Plastic Surgery, Llc receive its 1952391591 assignment from the Centers for Medicare & Medicaid Services?
The West Georgia Center For Plastic Surgery, Llc was assigned its 1952391591 by the Centers for Medicare & Medicaid Services on 2005-10-25.
As of what date were the West Georgia Center For Plastic Surgery, Llc's details last updated?
The information pertaining to the West Georgia Center For Plastic Surgery, Llc, including its address, specialty, and other details, was most recently updated on 2010-09-21.