Fayette Plasticsurgery Center LLC
Fayette Plasticsurgery Center LLC is an Ambulatory Surgical Clinic/Center in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
874 Lanier Ave W Ste 100Fayetteville, GA 30214-7662
Phone: (770) 461-4000
Fax: (770) 603-7040
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 12056659 (GA) |
|---|
Record details
| NPI number | 1639416365 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Raniere — Vice President · (770) 461-4000 |
| NPI enumerated | January 15, 2013 |
| Last updated in NPPES | January 15, 2013 |
| Mailing address | 874 Lanier Ave W, Suite 100, Fayetteville, GA 30214-7662 |
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Georgia Urology Fayette ASC
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Lagniappe LLC
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