Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Georgia Plastic Surgery

Organization Plastic Surgery Physician · NPI 1306028238

Northeast Georgia Plastic Surgery is a Plastic Surgery Physician in Gainesville, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1296 Sims St Ste B
Gainesville, GA 30501-3850
Phone: (770) 534-1856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1306028238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Parker — Practice Manager · (770) 534-1856
NPI enumeratedDecember 3, 2007
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address1296 Sims St, Suite B, Gainesville, GA 30501-3850

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