Marietta Plastic Surgery in Marietta - Ambulatory Surgical
Marietta Plastic Surgery - NPI 1417116567
Marietta Plastic Surgery is a Ambulatory Surgical in Marietta, Georgia. Marietta Plastic Surgery practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Marietta Plastic Surgery is 1417116567. The last update date is 2022-07-21.
Marietta Plastic Surgery's current location address is 823 Campbell Hill St Nw, Marietta, Georgia. You can contact this provider via phone number 7704250118. The mailing address for Marietta Plastic Surgery is 823 Campbell Hill St Nw, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marietta Plastic Surgery |
|---|---|
| Address | 823 Campbell Hill St Nw, Marietta, Georgia |
| Phone Number | 7704250118 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | West Keith Donald |
| Credentials | MD |
| Telephone Number | 7704250118 |
NPI Number Detail
| NPI Number | 1417116567 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 823 Campbell Hill St Nw |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601144 |
| Phone Number | 7704250118 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
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Post Comment/ Review Below
What is the unique identification code assigned to Marietta Plastic Surgery by the Centers for Medicare & Medicaid Services?
The Marietta Plastic Surgery has been issued the NPI (National Provider Identifier) 1417116567. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marietta Plastic Surgery is physically located?
The Marietta Plastic Surgery is situated at the following address: 823 Campbell Hill St Nw, Marietta, GA 300601144.
What is the Marietta Plastic Surgery's specialty and taxonomy code?
The Marietta Plastic Surgery's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did Marietta Plastic Surgery receive its 1417116567 assignment from the Centers for Medicare & Medicaid Services?
The Marietta Plastic Surgery was assigned its 1417116567 on 2008-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Marietta Plastic Surgery most recently updated or revised?
The information pertaining to Marietta Plastic Surgery, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.